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Senior Clinical Administrative Coordinator - Atlanta, GA; Richardson, TX; or Tampa, FL - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Atlanta, GA Atlanta, Georgia |
About this job
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.SM
Our Customer Service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
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.SM
Our Customer Service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
In this position, you will be working on a computer monitoring Pre-service Insurance Claims for members. You will be reviewing the benefits to determine Benefit eligibility and you will review their Medical Plan Benefit Prior Authorizations. You will also be creating referrals for the Case Management Department. You will be tasked with reviewing the work of your colleagues. You will handle escalated calls regarding Member Insurance Claims. You will support your Supervisor on special projects, including putting together data regarding Profits improvement. Other duties as assigned.
Primary Responsibilities:
Primary Responsibilities:
- Respond to Incoming Provider and Enrollee calls.
- Resolve Customer Service inquiries which could include:
- Entering notifications/Providers' status of an existing notification and determining if notification is required;
- Completing Notification Wizard, along with ICD-9 and CPT Coding.
- Provide excellent Customer Service to both Providers and Enrollees.
- Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
- Assist with faxes and emails.
- Moderate work experience within own function.
- Some work is completed without established procedures.
- Basic tasks are completed without review by others.
- Supervision/guidance is required for higher level tasks.
Requirements
Required Qualifications:
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM
- High School Diploma/GED.
- Minimal Travel - 10%
- 3+ years of Customer Service experience.
- 2+ years of experience in an Office setting using the telephone and computer as the primary instruments to perform the job duties.
- Computer skills, including familiarity with Windows applications, the ability to learn new and complex computer system applications with the proper training and utilize them for phone and off phone tasks, and proficiency with Microsoft Office (Word, Excel - sort, filter, and plug in data, and Outlook - send and receive emails, set appointments).
Preferred
Qualifications:
Qualifications:
- Experience working with Medical Insurance in a professional environment.
- Data Entry experience.
- Familiarity with Medical Terminology.
- Any College experience.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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