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Clinical Administrative Coordinator - Atlanta, GA
| Hours | Full-time, Part-time |
|---|---|
| Location | Atlanta, GA Atlanta, Georgia |
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.
Primary Responsibilities:
- Enters assessment information for Initial and Mid Pregnancy assessments directly into client systems in support of Critical state Medicaid programs for Centene clients.
- Conducts Initial Health Assessments IHAs associated with our Health Coaching programs as needed.
- Processes Physician Feedback and Complaints/Escalations.
- Reviews, interprets and process Physician feedback regarding our Care Alert Product. Determines and routes critical medical information to clinical departments as needed.
- Handles physician complaints received through the Care Alert feedback forms, determines appropriate actions and enters into Alere Service Recovery systems as needed.
- Escalates potential HIPAA violations as a result of misdirected Care Alerts. Assists management and Compliance Officer in researching such issues as necessary.
- Performs General Device Support Functions: Reviews returned Device Prescriptions from physicians. Determines appropriate actions, follows up on incomplete/illegible prescriptions, follows up with physician office as necessary, and post prescription information in participant record.
- Researches client disenrollment actions, including accessing client systems to confirm Health Plan eligibility status.
- Conducts device retrieval outbound calls as necessary to return devices from the field.
- Maintains Engagement/Compliance in Alere's Device Monitoring DM Programs:
- Conducts outbound calls to confirm status when device data is not received from participant, and determine proper course of action for resolution of issues.
- Conducts follow up for patients on Temporary Absence for Device Monitoring and coordinates with clinical staff to ensure proper assessments are completed prior to returning to monitoring.
Requirements
- 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.
- Experience working within the Healthcare Industry in a Hospital, Physician's Office, or Medical Clinical setting.
- Experience working with Healthcare Insurance.
- 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.
- Bilingual.
Are you ready for an opportunity that can transform your career? Get on the Alere Health team as we continue to transform health care every day.
Now part of Optum, Alere Health is building a future of opportunities. We provide leading edge products and services including condition and case management, wellbeing, and women's and children's health services for more than 200 health plans, 89 Fortune 500 employers, 29 states and 22 million people. Now, with our integration into Optum and the UnitedHealth Group organization, our growth and impact is multiplying every day.
If you bring a lot of passion and aspiration to your work, you'll fit in here and discover the opportunity to 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. Certain positions are subject to random drug testing.
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