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Clinical Administrative Coordinator - Baton Rouge, LA
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Baton Rouge, LA Baton Rouge, Louisiana |
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.
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.
Employees in this position include those responsible for initial Triage of members, Administrative Intake of members or managing the Admission/discharge information post-notification, and working with hospitals and the Clinical team. Function includes managing Incoming calls, managing requests for services from Providers/members, providing information on available Network services and transferring members as appropriate to Clinical staff. Also manages the Referrals process, processes Incoming and Outgoing Referrals, and Prior Authorizations. This function also includes Intake, Notification and Census roles.
Primary Responsibilities:
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
- 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:
Physical Requirements and Work Environment:
- High School Diploma/GED.
- 2+ years of professional experience in an Office setting using the telephone and computer as the primary instruments to perform the job duties OR 2+ years of Customer Service experience analyzing and solving customer problems.
- Proficiency with Microsoft Word, Excel and Outlook.
- Ability to type at least 40 wpm with a high-level of accuracy.
- Professional experience with Medical Terminology/Coding (ICD-9/10 and CPT).
Preferred Qualifications:
- Bachelor's Degree.
- Professional experience in a high volume Call Center.
- Professional experience in the areas of Healthcare or Insurance Benefits.
- Understanding of HIPAA Regulations.
- 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, age, national origin, protected
veteran status, disability status, sexual orientation, gender identity or
expression, marital status, genetic information, or any other characteristic
protected by law.
UnitedHealth
Group is a drug-free workplace. Candidates are required to pass a drug test
before beginning employment.