Bilingual Front Desk Associate Clinical Administrative Coordinator - Miami, FL - Full-time / Part-time

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 Associate 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.Positions
in this function includes those responsible for initial triage of
members, administrative intake of members or managing the
admission/discharge information post-notification, working with
hospitals and the clinical team. 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. Manages the referrals process, processes
incoming and outgoing referrals, and prior authorizations. This function
includes intake, notification and census roles.

Primary Responsibilities:
Manage the 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 rolesProvide appropriate triage and care coordination notification cases for non-clinical assessment/intervention Process notification requirements Assist 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 usageTwo years in the medical field.English and SpanishComputer SkillsExcellent Customer Service

Required Qualifications:


High School Diploma or GED1+ years of Customer Service experienceAbility to navigate a PC environment and utilize Microsoft Office in a professional settingBilingual in English and SpanishAHCA clearance
Preferred Qualifications: 

6+ months of experience working in a Call Center environmentExperience working within the Healthcare IndustryExperience working with Healthcare InsuranceExperience working with Medicare and/or Medicaid servicesProfessional experience in a Clerical or Administrative support related roleWorking knowledge of Medical Terminology to communicate with members and providersCareers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to 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.