Clinical Administrative Coordinator - Eden Prairie, MN - Full-time / Part-time

Position Description:

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 17 leader.

 

Optum
provides information and technology-enabled health services. The organization 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.


Our Clinical Administrative Coordinator teams have a serious responsibility to
make every contact informative, productive, positive, and memorable for what it
says about how much we care.



 

In this position you will receive
and review routine pre-service authorization requests from providers submitted via
a provider portal, fax, or paper submissions for chiropractic, physical
therapy, occupational therapy, and/or speech therapy services. You will process
these requests referencing job aides and standard policies and procedures to
research relevant rules, regulations, or client-specific requirements. You will
be responsible for determining whether authorizations and/or referrals are
required for requested services and ensuring required documentation has been
provided. You may need to access and review electronic history and notes on
previous member and/or provider requests. You will be required to document
applicable actions taken on a submission to ensure the request history is
captured for future reference. You may be required to generate provider
responses and ensure they are delivered to the mailroom for further handling. Throughout
the day you will be navigating between multiple computer screens to perform these
job duties. You must know how to prioritize and meet deadlines. You must be
able to work with others as part of a team. You may also be responsible
for transferring patient and provider demographic information and UM
determinations from one application to another to ensure proper reimbursement.  

Required Qualifications:


Associate Degree or higher OR High School Diploma/GED and 2+ years of healthcare insurance experience 
Comfortable working an 8-hour shift, Monday through Friday, between the hours of 6am to 6pm                  
1+ year of experience in an office environment using a computer as the primary instrument to perform job duties
6+ months of experience working in a professional team environment
Experience working with Microsoft Word, Excel, Outlook,
and utilizing the Internet


Preferred Qualifications:


Healthcare or healthcare insurance experience
Knowledge of medical terminology
Ability to proofread documentations
Data entry experience


Soft Skills:


Previous experience working in a task-related,
repetitive role while maintaining the ability to remain focused and
productive each day
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: UnitedHealth Group, UHG, Optum, clinical, administrative, coordinator, Eden Prairie, Minnesota, MN