Associate Clinical Administrative Coordinator- Virginia

 Posted an hour ago
     
 $16 - $29 per hour
  
2-5 years experience
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AI Summary

Manage administrative intake, referrals, and prior authorizations for members and providers. Coordinate with clinical teams and facilities to handle service requests and triage cases for clinical coverage review.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance 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 a chance to make an impact.

Schedule: Monday through Friday from 8 am to 5pm Eastern Standard Time.  Weekends (Saturday) will be required on a rotating basis. 

If you reside in the state of Virginia, you’ll enjoy the flexibility to telecommute* from as you take on some tough challenges.

Primary Responsibilities

  • Managing 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

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • 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.)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Required Qualifications:

  • High School Diploma /GED
  • 2+ years of experience working with individuals receiving Medicaid
  • 1 + years of customer service experience
  • Intermediate experience with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
  • Reside in the state of Virginia
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

Preferred Qualifications:

  • Prior work at home experience
  • Experience working within the health care Industry and with health care insurance
  • Experience working in a hospital, physician's office or medical clinic setting
  • A clerical or administrative support background
  • Experience working in a call center
  • Bilingual in Spanish, Farsi, or Vietnamese

Soft Skills:

  • Strong oral and written communication skills — specifically telephone skills
  • Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
  • Excellent customer service skills
  • Excellent interpersonal and problem-solving skills
  • Attention to detail, as observed in day-to-day work
  • Excellent time management and prioritization skills
  • Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
  • Strong team player, initiative in achieving individual and team goals, and team building skills
  • Able to handle sensitive issues with members and providers in a confidential manner
  • Demonstrates initiative in achieving individual, team, and organizational goals and objectives
  • Creative problem-solving skills with the ability to use community and network resources to meet members' needs
  • Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 to $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

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.

 

 

#RPO#GREEN

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