Clinical Administrative Coordinator - National Remote

Join Our Team at OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00 am - 8:00 pm CST. It may be necessary, given the business need, to work required overtime in the first 6 weeks of the year with occasional Saturdays.This will be paid on-the-job training and the hours during training will be 8:00 am - 5:00 pm CST, Monday - Friday.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary ResponsibilitiesPoint of contact for providers or members regarding medical/pharmacy/clinical services or benefitsReview fax and electronic referral requests for medical or clinical servicesEnter medical request data into relevant computer systemUtilize phone system to respond and transfer inbound calls transfer calls to appropriate individualsAccess electronic member files in external portal using appropriate patient identificationReview benefits and authorization requirements from the central BA team, create additional pharmacy test claims (if applicable), and patient responsibilityCheck procedure codes against notification requirements and benefit coverage to determine next stepsReference job aid tools via the computer to identify appropriate procedures when neededDocument, review and interpret historical documentation (e.g., MAR, H &P)Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)Reference and follow automated job aid tools via computer to research relevant rules, regulations, or policy/proceduresLearn computer systems and process changes and updates and incorporate them into daily workParticipate in routine meetings with team and branch members and update the team with relevant patient informationContact internal resources if necessary to clarify informationIdentify appropriate resources (e.g., doctor, resource, contracted provider) to respond to medical requestsProvide/explain benefit information to providers and patientsObtain verbal and written consent (PSA) to treat patientsCollect patient pay portions upon admission to servicesCommunicate with multidisciplinary teams to ensure coordination is complete for the onboarding of the patientReview and advise member/provider of status of a request (e.g., notification, authorization)Perform patient onboarding tasks in the Cloud workflow within the approved turnaround timesUpdate and/or add prescribers during the onboarding processAdd other duties as assignedYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required QualificationsHigh School Diploma/GED OR equivalent work experience2+ years of experience with analyzing and solving customer problems2+ years of experience working in the Health Care IndustryAbility to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00 am - 8:00 pm CST. It may be necessary, given the business need, to work required overtime in the first 6 weeks of the year with occasional SaturdaysMust be 18 years OR olderPreferred Qualifications1+ years of experience working with Health Care Insurance1+ years of experience in a Hospital, Physician's Office, OR Medical Clinic setting1+ years of experience working with Medicare and / OR Medicaid Services1+ years of experience in clerical OR administrative support background OR working in a Call Center environmentTelecommuting RequirementsAbility to keep all company sensitive documents secure (if applicable)Required to have a dedicated work area established that is separated from other living areas and provides information privacy.Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN