Clinical Administrative Coordinator - Boston, MA

Position Description:
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, Optum 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, Optum 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:Responsible for initial triage of provider calls, administrative intake of prior authorization requests, working with providers and the prior authorization and utilization management teamManaging incoming calls, managing requests for services from providers, providing information on available network services and transferring members as appropriate to utilization management staffProcesses incoming prior authorizations and uploads files into the applicable systemTriages member appeal calls

Required Qualifications:High School Diploma/GED1+ year of telephonic customer service experienceExperience using a computer and Microsoft Office (Word, Excel, and Outlook) Preferred Qualifications:Healthcare experience Prior authorization experienceMedicaid knowledge/experience Call center experience 

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: UHG, Boston, Healthcare, Call Center, Telephonic, MedicaidÂ