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Clinical Administrative Coordinator - Phoenix, AZ - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, AZ Phoenix, Arizona |
About this job
Position Description:
UnitedHealth
Group is working to create the Healthcare system of
tomorrow and you can help. Already Fortune 17, we are totally focused on
innovation and change. We work a little
harder. We aim a little higher. We expect more from ourselves and each other.
And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're
building a high-performance Healthcare system that works better for more people
in more ways than ever. Now we're looking to reinforce our team with people who
are decisive, brilliant and built for speed.
Join with us and start doing your life's best work.SM
What makes your clinical career greater with UnitedHealth
Group? You'll work within an incredible team culture; a clinical and business
collaboration that is learning and evolving every day. And, when you
contribute, you'll open doors for yourself that simply do not exist in any
other organization, anywhere.
Primary
Responsibilities:
- Manage administrative intake of members or the
admission/discharge information post notification. - Work with hospitals, clinics, facilities and the
clinical team to manage request for services from members and/or providers. - Manage the referrals process, processing incoming and
outgoing referrals, and prior authorizations, including intake, notification
and census roles. - Receive care coordination notification cases for
non-clinical assessment/intervention and provide appropriate triage. - Review requests for adverse determination, approval
notification and processing notification requirements. - Assist the clinical staff with setting up
documents/triage cases for Clinical Coverage Review. - Handle resolution/inquiries from members and/or
providers that may include: - Benefit and Eligibility
information. - Billing and Payment issues.
- Customer material requests.
- Physician assignments.
- Authorization for treatment.
- Explanation of Benefits (EOB).
- Verifying appropriate ICD-9
and CPT coding usage.
Requirements
Qualifications:
- High School Diploma/GED
- 2+ years of Customer Service experience analyzing and
solving customer problems. - Must be able to create, edit, save, and send documents
utilizing Microsoft Word and Excel. - Must be able to navigate a PC to open applications,
send emails, and conduct data entry.
Preferred
Qualifications:
- Experience working within the Healthcare Industry.
- Experience working with Healthcare Insurance.
- Experience working in a Hospital, Physician's Office,
or Medical Clinical setting. - Professional experience in a clerical or administrative
support related role. - Working Knowledge of Medical Terminology to communicate
with members and providers - Experience working with ICD-9 and CPT codes.
- Experience working with Medicare and/or Medicaid
Services. - Experience working in a call center environment.
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 where ever 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.
customer service, call center, intake, prior authorization,
medical assistant, administrative, clerical, coordinator, claims
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