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Clinical Administrative Coordinator - Southfield, MI
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Southfield, MI Southfield, Michigan |
About this job
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 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. (sm)
Primary Responsibilities:
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 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. (sm)
Primary Responsibilities:
- Apply knowledge/skills to a range of moderately complex activities.
- Demonstrate great depth of knowledge/skills in own function.
- Sometimes act as a technical resource to others in own function.
- Proactively identify solutions to non-standard requests.
- Solve moderately complex problems on own.
- Work with team to solve complex problems.
- Plan, prioritize, organize, and complete work to meet established objectives.
- May coordinate work of other team members.
- Experience with MI Facets is a plus.
- Understanding MI Medicaid policy is a plus
- Must act in a professional manner as contact will occur with providers (to request medical records)
- Must be well organized.
- Extensive work experience within own function.
- Work is frequently completed without established procedures.
- Work independently.
- May act as a resource for others.
- May coordinate others' activities.
Requirements
Required Qualifications:
- High School Diploma/GED.
- 2+ years of previous experience in the Healthcare Industry (preferably within Claims, Auditing, or Provider Support).
- 1+ year experience with Claims Processing systems (i.e. Facets, Cosmos, UNET, etc.).
- Previous experience conducting Research and Analysis with Claims and Recovery.
- Previous experience working with Microsoft Word and Excel.
- Previous experience working with Microsoft Access.
Preferred Qualifications:
- Bachelor's Degree.
- Previous experience with Facets and MACESS.
- Knowledge of CSHCS.
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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.