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Clinical Administrative Coordinator - Greensboro, NC
| Hours | Full-time, Part-time |
|---|---|
| Location | Greensboro, NC Greensboro, North Carolina |
About this job
Energize your career with one of Healthcare's fastest growing
companies.
You dream of a great career with a great company - where you can
make an impact and help people. We dream of giving you the opportunity to
do just this. And with the incredible growth of our business, it's a
dream that definitely can come true. Already one of the world's leading
Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate
our Service Centers, improve our Service levels and help people lead healthier
lives. We live for the opportunity to make a difference and right now, we are
living it up.
This opportunity is with one of our most exciting business areas:
Optum - a growing part of our family of companies that make UnitedHealth Group
a Fortune 14 leader.
Optum helps nearly 60 million Americans live their lives to the
fullest by educating them about their symptoms, conditions, and treatments;
helping them to navigate the system, finance their Healthcare needs, and stay
on track with their Health goals. No other business touches so many lives in
such a positive way. And we do it all with every action focused on our shared
values of Integrity, Compassion, Relationships, Innovation, and Performance.
- 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 informatio
- 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
- High School Diploma/GED.
- 2+ years of Customer Service experience analyzing and solving customer problems.
- Experience with Microsoft Word, Excel.
- Bachelor's Degree
- Experience working within the Healthcare Industry
- 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
- Experience with Outlook or Lotus Notes
At
Optum, you will perform within an
innovative culture that's focused on transformational change in the Healthcare
system. You will leverage your skills across a diverse and multifaceted
business. And you will make contributions that will have an impact that's
greater than you've ever imagined.
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.　
call center, intake, prior authorization, medical assistant,
administrative, clerical, coordinator, claims