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Senior Fair Hearing Clinical Administrative Coordinator - West Des Moines, IA

12/27/2017Call Center
Job Location:
Des Moines, IA
Metro Area:
IA - Des Moines - Ames
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. Lets face it, no industry is moving faster than health care. And no organization is better positioned to move health care forward than UnitedHealth Group. We're out to use data, technology and people in ways that help drive change and make the health care system work better for everyone. 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. Take this opportunity to work with a Fortune 6 industry leader. As a Senior Fair Hearing Clinical Administrative Coordinator, you will be dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, youll also be the go-to resource for information. The flexibility to work evening hours will also be required. Primary Responsibilities: Act as a Subject Matter Expert for other team members within current data systems Ability to support the identification, monitoring and reporting of affordability Ability to successfully manage escalated calls from members, providers, and team members Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles Quickly resolve inquiries from members, providers, and clinical leadership Demonstrate strong problem-solving skills in data analysis Demonstrate strong excel skills and ability to gather and support data analysis, report writing and state reporting processes Ability to work and develop relationships across all divisions of UHC


Required Qualifications: Associate's Degree (or higher) or High School Diploma / GEDand4+ years of experience in Health and Human service field 2+ years of experience analyzing and solving customer challenges Must be able to work Monday- Friday 8:00am-5:00pm with possible overtime and evening hours Preferred Qualifications: Experience working with medical terminology Experience working with health care insurance Experience in a hospital, physician's office or medical clinic setting Clerical or administrative support background or experience working in a call center environment Knowledge of HCBS coding / modifiers Let's talk about meaningful work. UnitedHealth Group is always looking for new ways to improve our ability to deliver high-quality care. As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers. You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases. It's truly an opportunity to make an impact on a huge scale. Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV/AIDS and High-risk Pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your lifes 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: customer service, West Des Moines, IA, call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims
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