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Clinical Administrative Coordinator - Las Vegas, NV or Phoenix, AZ

12/22/2017Call Center
Job Location:
Las Vegas, NV
Metro Area:
NV - Las Vegas
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
Position Description: Energize your career with one of Healthcares fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies,UnitedHealth Groupis restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas:Optum a growing part of our family of companies that makeUnitedHealth Groupa Fortune 6 leader. Optumhelps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance. Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business,Optumis seekingClinical Administrative Coordinatorswho share our passion for helping others live healthier lives. As one of the world's leading health care companies,Optumis pursuing innovative new ways to operate our service centers and improve on our ability to deliver high - quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doingyour life's best work. What makes your clinical career greater withOptum?You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Positions in this function includes those responsible for managing incoming calls, managing requests for services from providers / members, providing information on available network services and transferring members as appropriate to clinical staff. Primary Responsibilities: Manage the intake of members or the admission / discharge information post notification Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and / or providers Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Provide appropriate triage and care coordination notification cases for non - clinical assessment / intervention Process notification requirements Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review Handle resolution / inquiries from members and / or providers that may include: Benefit and Eligibility information Billing and Payment issues Customer material requests Physician assignments Authorization for treatment Explanation of Benefits (EOB) Verifying appropriate ICD - 10 and CPT coding usage Extensive work experience within own function Work is frequently completed without established procedures Works independently May act as a resource for others May coordinate others activities


Required Qualifications: High School Diploma / GED or higher 1+ years of customer service experience analyzing and solving customer problems 1+ years of call center experience 2+ years of experience working within the Healthcare Industry 1+ years of experience working with Healthcare Insurance Must be able to navigate a PC to open applications, send emails, and conduct data entry Working Knowledge of Medical Terminology to communicate with members and providers Preferred Qualifications: Experience working in a Hospital, Physician's Office, or Medical Clinical setting Professional experience in a clerical or administrative support related role Experience working with ICD - 9, ICD - 10, and CPT codes Experience working with Medicare and / or Medicaid Services Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to doyour 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 Groupis a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords:UHG, Las Vegas, Nevada, Call Center, Clinical, Healthcare,Phoenix, Arizona
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