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Clinical Administrative Coordinator - Columbia, MD

11/08/2018Call Center
Job Location:
Columbia, MD
Metro Area:
MD - Baltimore
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
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.Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission / discharge information post - notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers / members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. *Employees in jobs labeled with "SCA" must support a government Service Contract Act (SCA) agreement.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 requests for services from members and / or providersManage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census rolesProvide appropriate triage and care coordination notification cases for non - clinical assessment / intervention Handle resolution / inquiries from members and / or providers This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours. Limited work experience. Works on simple tasks using established procedures. Depends on others for guidance. Work is typically reviewed by other Soft Skills:Must be able to type and talk at the same time and navigate through multiple screensExperience working in a metric - driven work environment


Requirements:High school education or equivalent experience.HS Diploma or GED 1+ year of customer service experience analyzing and solving customer problems Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel Experience working within the health care Industry and with health care insurance A clerical or administrative support background Knowledge of ICD -  9 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 do your life's best work.SM   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: Optum, UHG, Comumbia MA, Call Center, Customer Service, Escalations, Escalated
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