Clinical Administrative Coordinator - Sunrise, FL - Full-time / Part-time

• Process Prior Authorization notifications.
• Confirm patient Admission/Discharge dates and track length of stay.
• Review cases for accuracy and delegate to appropriate Clinical team member when necessary.
• Respond to Incoming Provider and Enrollee calls.
• Build Authorizations in UHC systems.
• Resolve Customer Service inquiries which could include:
• Enter notifications and Providers status of an existing notification and determining if notification is required;
• Complete 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
• Other duties as assigned
• Must be available to work an 8-hour shift during the site hours of 7:00 am – 7:00 pm, EST.

• High School Diploma/GED.
• 1+ year of Customer Service experience analyzing and solving customer problems
• 6+ months of experience in an office environment using the telephone and computer as the primary instruments to perform job duties.
• Ability to work occasional holidays &/or weekends, when required.

Preferred
Qualifications: 

• Experience working in a Hospital, Physician's office or Clinical setting.
• Medical Terminology/Coding (ICD-9 and CPT) experience.
• Understanding of HIPAA regulations.
• Basic working knowledge of Medicare/Medicaid.

Physical Requirements and Work Environment:

• Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, and long periods of close vision looking at a computer monitor.
• Service Center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

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

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.