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in Sunrise, FL
Clinical Administrative Coordinator - Sunrise, FL
•30 days ago
Hours | Full-time, Part-time |
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Location | Sunrise, FL Sunrise, Florida |
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.
Primary Responsibilities:
- 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.
Requirements
Required Qualifications:
- 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.
- Medical Terminology/Coding (ICD-9 and CPT) experience
- Ability to work occasional holidays &/or weekends, when required.
Preferred Qualifications:
- Experience working in a Hospital, Physician's office or Clinical setting.
- 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.
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.