Clinical Administrative Coordinator - Las Vegas, NV - 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 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. 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 providers.Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles.Receive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage.Review requests for adverse determination, approval notification and processing notification requirements.Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review.Handle resolution/inquiries from members and/or providers that may include:Benefit and Eligibility information.Billing and Payment issues.Customer material requests.Physician assignments.Authorization for treatment.Explanation of Benefits (EOB).Verifying appropriate ICD-9 and CPT coding usage.Prefer a bi-lingual candidate but not mandatoryHave UR experience but not mandatoryWill handle medical only filesMust be able to work 8:00am – 5:00pm

Required Qualifications: High School Diploma/GED 2+ years of Customer Service experience analyzing and solving customer problems Working experience using Microsoft Word and Excel Working experience using a PCPreferred Qualifications: Experience working within the Healthcare Industry Previous Healthcare Insurance experience Previous experience with Medical only files Prior experience working in a Hospital, Physician's Office, or Medical Clinical setting Professional experience in a Clerical or Administrative support role Working Knowledge of Medical Terminology ICD-9 and CPT code experience Prior experience working with Medicare and/or Medicaid Services Call Center experience Workers Compensation experience Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. 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