Clinical Administrative Coordinator - Remote in New Jersey

UnitedHealth Group is a health care and well‑being company dedicated to improving health outcomes for millions worldwide through its UnitedHealthcare and Optum businesses. The Clinical Administrative Coordinator manages administrative intake of members using ICUE and Community Care, collaborates with hospitals, clinics, facilities, and the clinical team, and processes referrals and prior authorizations. The role includes handling inbound calls, supporting clinical staff, and maintaining member/provider correspondence. Position Type: Full‑time (40 hours per week). Working hours: Monday‑Friday, 8:30 AM–5:00 PM (Eastern Standard Time), with flexibility for occasional overtime as needed. Training: 2 weeks of virtual training from home. Travel: 0–10% for quarterly meetings at the East Brunswick, NJ office. Telecommute: Eligible for telecommuting if residing within New Jersey and meeting the remote work area and internet requirements. Primary Responsibilities Managing administrative intake of members Working with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers Processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles Assisting the clinical staff with setting up documents/triage cases for Clinical Coverage Review Resolving inquiries from members and/or providers Extracting and reviewing fax requests for medical or clinical services, ensuring assignment to the correct individual(s) Accessing electronic member files using policy or ID number Determining member eligibility Providing support to field staff in locating providers, including calling/emailing/faxing multiple providers Mailing member materials, including care plans, and sorting and distributing incoming correspondence via hard copy or e‑mail Faxing care plans to providers on the members’ care team Following protocols to task requests appropriately Referencing automated job aid tools via the computer to identify appropriate procedures when needed Consistently meeting established productivity, schedule adherence, and quality standards while maintaining good attendance Maintaining confidentiality and adhering to HIPAA requirements Managing heavy call volume Performing other duties as assigned Benefits Paid Time Off and 8 paid holidays, accruing from the first pay period Medical plan options with Health Spending Account or Health Savings Account Dental, vision, life & AD&D insurance, short‑term and long‑term disability coverage 401(k) savings plan, Employee Stock Purchase Plan Education reimbursement Employee discounts and assistance program Employee referral bonus program Voluntary benefits (pet insurance, legal insurance, LTC insurance, etc.) Competitive base pay ranging from $18 to $32 per hour, with incentives and recognition programs Required Qualifications High School Diploma or GED At least 2 years of customer service experience in healthcare or insurance Intermediate proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook) and Windows applications Ability to learn and use new computer systems Availability to work 40 hours per week, Monday‑Friday, 8:30 AM–5:00 PM, with occasional overtime Residency within the state of New Jersey Preferred Qualifications Experience in a hospital, physician's office, or medical clinic setting Experience working in a call center Background in clerical or administrative support Knowledge of ICD‑9 and CPT codes Telecommuting Requirements Residency within New Jersey Dedicated, private work area separated from living spaces and ensuring document privacy Secure handling of company sensitive documents High‑speed internet capable of meeting UnitedHealth Group standards Soft Skills Excellent written and verbal communication skills Ability to work independently and as part of a team Focus and productivity in repetitive tasks All telecommuters must adhere to UnitedHealth Group's Telecommuter Policy. Candidates are required to pass a drug test before beginning employment. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. #J-18808-Ljbffr Crains Cleveland