Clinical Administrative Coordinator - Remote in Richmond and Surrounding Areas, VA

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Clinical Administrative Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service. Supports the teams in meeting clinical and service goals.

Work Hours: Full-time (40 hours/week) Monday through Friday, any 8-hour or 10- hour shift to be determined by the hiring manager between the hours of 7am to 6pm EST with the possibility to work additional hours as needed for the business needs

If you reside in Richmond or Reston, VA, and surrounding communities, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Manage 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
• Extract and review of fax requests for medical or clinical services, and ensure that these requests are assigned to the correct individual(s)
• Access electronic member files using policy or id number
• Determine member eligibility
• Provide support to field staff in locating providers who can assist our members. This will include calling/ emailing / faxing multiple providers
• Mail member materials, including care plans, and open, sort and distribute incoming correspondence via hard copy or e-mail
• Fax care plans to providers on the member's care team
• Follow protocols to task requests appropriately
• Reference automated job aid tools via the computer to identify appropriate procedures when needed
• Consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance
• Maintain Confidentiality and adhere to HIPAA Requirements
• Performs other duties as assigned

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.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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 (or higher) OR 4+ years of experience working within the healthcare industry or with healthcare insurance
• 2+ years of customer service experience
• Advanced level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management) and use of multiple web applications
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in the state of Virginia within a commutable distance to Richmond, Reston, and surrounding communities, as you may be asked to go into the office in these locations throughout the year

Preferred Qualifications:

• 1+ years of experience working with medical terminology
• Experience working at home
• Experience working within the healthcare Industry and with healthcare insurance
• Experience working in a hospital, physician's office or medical clinic setting
• Clerical or administrative support experience

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

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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