Note: The job is a remote job and is open to candidates in USA. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Inbound Clinical Administrative Coordinator will manage administrative intake of members and work with healthcare facilities and clinical teams to coordinate services and handle inquiries.
Responsibilities
- Manage administrative intake of members
- Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and / or providers
- Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
- Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
- Handle resolution / inquiries from members and / or providers
Skills
- High School Diploma / GED
- Must be 18 years of age OR older
- 1+ years of experience with taking 40+ calls in a high-volume call center environment
- 1+ years of experience in health insurance OR medical billing
- Experience in working with key performance indicators (average handle time, call volume, etc.)
- Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:30 am - 6:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends
- 1+ years of experience in working with ICD - 9 / 10 and CPT codes
- Professional experience in a clerical OR administrative support related role
- Knowledge of medical terminology
- Experience in working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
- 2 weeks of paid training
- Training will be conducted virtually from your home
- Flexibility to telecommute from anywhere within the U.S.
- Paid training
Company Overview