Clinical Administrative Coordinator - US Telecommute

Primary
Responsibilities:

• Respond to Incoming Provider and Enrollee calls.
• Resolve Customer Service inquiries which could include: 
• Entering notifications and Providers' status of an existing notification, and determining if notification is required; and
• 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. 
• Plan, prioritize, organize, and complete work to meet established objectives.
• Able to effectively utilize UHG applications related to QOC case research, including but not limited to authorization applications, auto correspondence, and Member & Provider demographic systems. 
• Medical Terminology knowledge.
• Order Medical Records and/or response for Clinical Reviewer (including working with copy services as needed and timely follow-up).
• Good verbal communication skills with Provider contacts
• Support Clinical staff in case closure within 3 business days. 
• Support Clinical staff with QOC Inquiry correspondence within 1 business day (includes fax to involved Provider, merge fax confirmation with soft copy of Inquiry letter and save in document storage application; and complete timely phone Follow Up for response).
• Interface with other departments, as needed (i.e. A & G, UHN, etc).

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.