Associate Clinical Administrative Coordinator

UnitedHealth Group • Brentwood, TN

150d • $16 - $27 • Remote

About The Position

This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Home & Community Care is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Care Transition product, you'll help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

Requirements

• High School Diploma / GED
• Must be 18 years of age OR older
• Experience in a customer service and/or operations environment
• Ability to communicate with clients, team members and managers using telephone or comparable communication devices such as email, Microsoft Teams, Fax and/or other system messaging programs
• Ability to work any of our 8-hour OR 10-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM from Sunday - Saturday. It may be necessary, given the business need, to work occasional overtime or weekends.

Nice To Haves

• Familiarity with medical terminology and HIPAA laws
• Experience in healthcare setting
• Experience with working in a high-volume production-based environment
• Experience with meeting expected performance goals
• Written and verbal communication skills
• Critical thinking skills
• Proficient with Microsoft Word, Microsoft Excel, Microsoft Outlook, and Microsoft Teams
• Detail-oriented and ability to correctly interpret data and information in the Home & Community Care documentation system
• Ability to prioritize, plan, and organize multiple tasks/demands simultaneously
• Ability to use office equipment, such as copier, fax machine, telephone, and scanner (if applicable)

Responsibilities

• Manage inbound and/or outbound telephone communication in a professional manner and according to productivity and quality standards
• Process inbound and/or outbound electronic data and communication (i.e., faxes, emails, and electronic communication) according to productivity and quality standards
• Enter, review and/or verify member information in the Home & Community Care documentation system and communicate approved pertinent information with healthcare providers and/or Home & Community Care team as needed
• Enter and/or update any required data into the Home & Community Care documentation system accurately and in a timely manner
• Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating/updating new authorizations, attaching documents (i.e., medical records), and logging therapy information
• Assist in a smooth coordination of members care between health providers and the health plan
• Establish relationships and communicate, when appropriate, to providers, clients and/or Home & Community Care field/care management staff as defined by departmental policy and process
• Triage inbound calls/emails, manage provider/member inquiries/requests and resolve or escalate to appropriate Home & Community Care team or health plan personnel
• Run and/or review any reports to complete responsibilities as outlined in departmental processes
• Follow chain of command when provider/member issues or concerns are reported
• Attend Home & Community Care meetings as requested
• Adhere to organizational, departmental, compliance and regulatory policies and procedures
• Promote a positive attitude and work environment
• Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business
• Perform other duties and responsibilities as required, assigned, or requested

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED