Clinical Administrative Coordinator - Shelton, CT - Full-time / Part-time

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.

UnitedHealth Group is working to create the Healthcare system of tomorrow and you can help. Already Fortune 17, we are totally focused on innovation and change.  We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance Healthcare system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.  Join with us and start doing your life's best work. Primary Responsibilities: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 providersManage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census rolesReceive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage.Review requests for adverse determination, approval notification and processing notification requirementsAssist the clinical staff with setting up documents/triage cases for Clinical Coverage ReviewHandle resolution/inquiries from members and/or providers that may include:Benefit and Eligibility informationBilling and Payment issuesCustomer material requestsPhysician assignmentsAuthorization for treatmentExplanation of Benefits (EOB)Verifying appropriate ICD-9 and CPT coding usage

Required Qualifications:High School Diploma or GED2+ years of Customer Service experience analyzing and solving customer problems1+ year of experience with Microsoft Word and ExcelMust be able to type at least 45 WPM and navigate Windows PC applicationsPreferred Qualifications:Bachelor's DegreeExperience working within the Healthcare IndustryExperience in a Clerical or Administrative support related roleWorking Knowledge of Medical Terminology to communicate with members and providersExperience working with ICD-9 and CPT codesExperience working with Medicare and/or Medicaid ServicesExperience working in a Call Center environmentCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 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 wherever 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.

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.

 Keywords: customer service, call center, intake, prior authorization