The job below is no longer available.
You might also like
in Brentwood, TN
Centennial Heart • 2d agoUrgently hiring 8 mi Use left and right arrow keys to navigate- Centennial Heart • 2d ago
Urgently hiring 7.9 mi Use left and right arrow keys to navigate 
$24est. per hour XPO • 5h agoUrgently hiring 4 mi Use left and right arrow keys to navigate- $24
est. per hour XPO • 5h agoUrgently hiring 9.4 mi Use left and right arrow keys to navigate - $15
est. per hour Five Below • 22d agoUrgently hiring 2.8 mi Use left and right arrow keys to navigate
Clinical Administrative Coordinator - Brentwood, TN - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Brentwood, TN Brentwood, Tennessee |
About this job
Position Description:
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work. (sm)
Primary responsibilities for the Clinical Administrative Coordinator include drafting approval, denial, termination and reduction of service letters for our Medicaid and/or Medicare program clients. The employee is required to evaluate the clinical documentation to ensure it meets regulatory requirements. The employee must apply knowledge of the State and Federal regulations concerning the services and benefits. Must demonstrate understanding of the program by selecting the correct template and drafting the letter according to regulatory requirements with correct spelling and grammar.
Primary Responsibilities:
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work. (sm)
Primary responsibilities for the Clinical Administrative Coordinator include drafting approval, denial, termination and reduction of service letters for our Medicaid and/or Medicare program clients. The employee is required to evaluate the clinical documentation to ensure it meets regulatory requirements. The employee must apply knowledge of the State and Federal regulations concerning the services and benefits. Must demonstrate understanding of the program by selecting the correct template and drafting the letter according to regulatory requirements with correct spelling and grammar.
Primary Responsibilities:
- Follows department Standard Operating Procedures for handling of cases
- Uses appropriate template
- Prints/faxes letters
- Converts to Adobe for saving
- Updates database
- Takes direction from others for case handling, such as requesting clarification on cases, responses, and follow-up for requested information.
- Individual audit scores consistently 96% overall.
- Has understanding of primary systems
- Needs guidance with complex issues.
- Effectively problem solves standard cases consistent with department SOPs.
- Is able to resolve routine cases on their own with assistance as needed from supv/mgr
- Is able to identify and address all issues in cases, with direction from SME or Manager.
- Reaches out to other areas to make sure issues are fully resolved.
- Utilizes time management skills to successfully prioritize work load to meet established TAT.
- Works effectively with other team members to facilitate timely review and closure of cases
- Assists in projects as needed
- Cross trained to cover other LOBs in absence/need
- Works with auditor/manager to complete cases appropriately
- Participates in team meetings
- Understands State regulations/contractual requirements:
- Timeframes
- Reading grade levels
- Template requirements
- Ensure notification requests are cleared out of the queues timely.
- Initiation and distribution of helpdesk ticket information for IT issues that affect team as whole and not individuals
Requirements
Required Qualifications:
- High School Diploma/GED.
- Ability to work Tuesday-Saturday 9am-6pm.
- 1+ year of experience working with a computer and the ability to type a minimum of 45 words per minute.
- 1+ year of experience working with Microsoft Office.
- 1+ year of experience working in an Administrative role (typing, writing letters, correspondence, faxes, etc).
- Healthcare experience.
- Medicaid or Medicare experience.
- Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods of close vision looking at a computer monitor.
- Service center environment with moderate noise level due to Representatives talking, computers, printers, floor activity
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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, 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.
Your Privacy Choices