Note: The job is a remote job and is open to candidates in USA. UnitedHealthcare is dedicated to simplifying the health care experience and creating healthier communities. The Clinical Administrative Coordinator plays a key role in ensuring the completion of established processes and protocols while collaborating with the care team to deliver exceptional customer service and support clinical teams in achieving service and care delivery goals.
Responsibilities
- Act as a Subject Matter Expert for other team members
- Work with the clinical team to manage requests for services
- Manage the intake of members or the admission/discharge information post notification
- Manage the referral process, processing incoming and outgoing referrals and authorizations, including intake, notification and census roles
- Resolve inquiries from members and/or providers
- Completing special projects
- Performs other duties as assigned
Skills
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 2+ years of customer service experience analyzing and solving customer problems
- Ability to travel up to 10% locally to attend team Quarterly meetings
- Intermediate level of proficiency with Microsoft Word (create documents, edit), Microsoft Excel (create, edit, save documents), Microsoft Outlook (email and calendar management), and the ability to use multiple web applications
- Ability to work full-time (40 hours/week) Telecommute position in Tampa, Florida. The schedule is Monday through Friday and an 8-hour shift between the hours of 8:00 am to 5:00 pm EST. It may be necessary, given the business need, to work occasional overtime
- 1+ years of experience working with Medicare and/or Medicaid Services
- 2+ years of experience working in the health care industry
- 2+ years of experience working with medical terminology
- Work at home experience
- Experience working in metrics driven environment
- Knowledge of ICD-10 and CPT codes
Benefits
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
Company Overview