Senior Clinical Administrative Coordinator - Cliffside Park, NJ

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 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 &
Performance.

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

Employees in this
position will work as an extension of the local Provider Care teams by aligning
to geographical regions and clinics that care for a high volume of Medical
& Retirement membership, as well as coordinating all facets of patients'
needs.

Primary
Responsibilities:

• Review all member charts prior
  to a physician appointment and create alerts/triggers to highlight Star
  opportunities for the Provider.


• Partner with the Practice's
  Administrative and Clinical staff while managing patient appointments and
  data between visits.


• Assist members in navigating
  their network of Providers by assisting with follow-up and Specialist
  appointments as needed. 


• Assist with Program Eligibility
  verifications.


• Appropriate Referrals to Case
  Management staff.


• Interact with patients via
  telephone; Scheduling appointments.


• Perform Data collection, Data
  Entry and Quality monitoring activities, as applicable.


• Document case information
  completely, accurately, and in a timely manner.


• Demonstrate sensitivity to
  issues and show proactive behavior in addressing customer needs.


• Provide ongoing support and
  education to team members.


• Optimize customer satisfaction,
  and positively impact productivity.


• Will not conduct any evaluation
  or interpretation of Clinical data and will be supervised by Licensed
  and/or Certified staff.


• Adhere to corporate
  requirements related to industry regulations/responsibilities.


• Maintain confidentiality and
  adhere to HIPAA requirements.


• Other duties, as
  assigned. 

Requirements:

• High School Diploma/GED.


• 25-75% Travel to Provider offices and Member homes
  within the service delivery area (up to 1-hour radius), as needed..


• 2+ years of Call Center experience in the Healthcare
  industry.


• 1+ year of a Healthcare background with Medical
  Terminology familiarity of Clinical issues.


• 1+ year of working experience with ICD- 9 and CPT
  Codes.


• 1+ year of working experience with Microsoft Word and
  Excel.


• 1+ year of working experience with and knowledge of
  HIPAA Compliance requirements.


• Reliable transportation, valid Insurance, and valid
  & unrestricted Driver's License within the State of New Jersey.


• Typing skills of at least 45 - 50 WPM.


• Strong Data Entry skills.
• Bilingual fluency with English and Korean.

Assets:

• Experience working in a Physician, Provider, and/or
  Medical office is preferred.


• EMR knowledge and experience.

At Optum,
you will perform within an innovative culture that's focused on
transformational change in the Healthcare system. You will leverage your skills
across a diverse and multifaceted business. And you will make contributions
that will have an impact that's greater than you've ever imagined.

Diversity creates a
healthier atmosphere: All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, national origin,
protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment. In addition,
employees in certain positions are subject to random drug testing.