Clinical Administrative Coordinator - Dallas, TX

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) What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.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)Excellent computer skills including excel preferred.Ability to multitask and be self directed once trained is highly recommended.

Requirements:HS Diploma or GED2+ years of customer service experience analyzing and solving customer problems1+ years working in a clerical type environment Ability to create, edit, save and send documents utilizing Microsoft Word, Excel and OutlookAbility to navigate a PC to open applications, send emails, and conduct data entryPreferred Qualifications: Experience working with insurance benefits and authorizationsExperience working in a Healthcare settingAre you ready for an opportunity that can transform your career? Get on the Alere Health team as we continue to transform health care every day.
Now part of Optum, Alere Health is building a future of opportunities. We provide leading edge products and services including condition and case management, well being, and women's and children's health services for more than 200 health plans, 89 Fortune 500 employers, 29 states and 22 million people. Now, with our integration into Optum and the UnitedHealth Group organization, our growth and impact is multiplying every day.
If you bring a lot of passion and aspiration to your work, you'll fit in here and discover the 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.