752 Outgoing Jobs in seatac, wa

Clinical Admin Coordinator

SeaTac, WA

Northwest Physicians Network, part of Optum, is now offering qualified candidates an opportunity to join our team as an Clinical Admin Coordinator. Our company values innovative problem solvers promotes personal and professional growth and provides a supportive working environment that affords all team members a healthy work/life balance.

The Clinical Admin Coordinator performs a variety of administrative support for department operations. 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 and assisting providers 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.

Northwest Physicians Network, part of Optum, creates the opportunity for independent private practitioners to thrive in Washington State. By providing clinical integration support and data driven quality improvement, we have created a high value delivery network, making it possible for our providers to remain focused squarely on their patients.

Status: Regular, Full-time, FLSA Non-exempt

Base Rate (negotiable d.o.e.) + Competitive Benefits

Primary responsibilities will include:

• Take inbound calls from providers in a call center environment
• 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
• Provide appropriate triage and care coordination notification cases for non - clinical assessment / intervention
• Process 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 - 10 and CPT coding usage

Required Qualifications:

• High School Diploma / GED (or higher)
• 1+ years of customer service experience analyzing and solving customer problems
• 1+ years of call center experience
• Must be able to navigate a PC to open applications, send emails, and conduct data entry
• Ability to work a scheduled shift (8 hours per day / 40 hours per week) Monday - Sunday, between the hours of 5:00 am PST and 7:00 pm PST

Preferred Qualifications:  

• 2+ years of experience working within the Healthcare Industry
• 1+ years of experience working with Healthcare Insurance
• Experience working in a Hospital, Physician's Office, or Medical Clinical setting
• Professional experience in a clerical or administrative support related role
• Experience working with ICD - 9, ICD - 10, and CPT codes
• Experience working with Medicare and / or Medicaid Services
• Working Knowledge of Medical Terminology to communicate with members and providers

Soft Skills:  

• Ability to maintain set goals and metrics in a call center environment
• Ability to communicate efficiently in a professional environment
• Ability and willingness to work a set schedule, including clock-in/out, breaks, and lunches as designated by leadership

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. 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. Here you'll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.

Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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. Optum and its affiliated medical practices is a drug-free workplace.

Candidates are required to pass a drug test before beginning employment.