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Clinical Administrative Coordinator - Honolulu, HI

02/07/2018Call Center
Job Location:
Honolulu, HI
Metro Area:
HI - Honolulu
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. There may be easier administrative jobs out there, but few offer the satisfaction of truly helping people manage their personal health and well-being. UnitedHealthcare, part of the UnitedHealth Group family of businesses, is serving employers and individuals, states and communities, military families and veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. Our customer service teams have a serious responsibility to make every contact informative, productive, positive and memorable. If you're the kind of person who wants to bring your contribution to a new level every day, find out more. Primary Responsibilities: Respond to incoming provider and enrollee calls Provide excellent Customer Service to both providers and enrollees Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance Receives Care Coordination notification cases for non-clinical assessment / intervention and provides appropriate triage Processes out of network requests for consideration of in network level of benefits for physician specialty referrals for appropriate products Processes notification requirements for outpatient procedures, home health, DME, transition of care, and network gap issues Processes letters within DOL time frames Verifies appropriate ICD-10 and CPT coding usage Communicates to providers and members benefit determinations within DOL time frames Assist with faxes and emails Moderate work experience within own function Some work is completed without established procedures Supervision / guidance is required for higher - level tasks Full-time schedule: Monday - Saturday availability required Other duties as assigned by manager and / or director


Required Qualifications: High School Diploma / GED (or higher) 1+ years of professional experience in an office / Customer Service environment Previous experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents), Microsoft Word (ability to create, edit, save, and send documents), and Microsoft Excel (ability to create, edit, save, and send documents) Previous experience working with a computer including, but not limited to, ability to learn new computer system applications Ability to work a full-time schedule within department hours of Tuesday - Saturday 8:30 am - 5:30 pmPreferred Qualifications: Bachelor's Degree (or higher) Professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties OR Customer Service experience analyzing and solving customer's problems Experience working within the Healthcare Industry, Hospital, Physician's Office, or Medical Clinical setting, Medical Terminology, ICD-10 and CPT codes, Medicare and / or Medicaid Services, call center environment Professional experience in a Clerical or Administrative support related role Experience with Lotus NotesSoft Skills: Must be a self - starter and able to work autonomously Strong aptitude for working in a production driven environment Ability to work in a fast - paced, dynamic, rapidly changing environment Excellent oral and written communication skills Ability to multi - taskCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: UHG, Honolulu, HI, customer service, healthcare, ICD-10, CPT codes, Medicare and/or Medicaid Services, call center environment
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