This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Clinical Administrative Coordinator (CAC) is a multi-faceted role within Optum Health Risk Operations that encompasses different levels of administrative support. The Clinical Administrative Coordinator serves as a bridge, allowing for a seamless transition for members and providers moving through the continuum of care. This role can include initial triage of members for possible transition to clinical staff, managing admission and discharge census information, serving as a point of contact for facilities and clinical teams, telephonic engagement with our members and providers, providing information on available network services, managing the referral process to connect members with all available resources, management of prior authorizations, and generation of written determination notifications.
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 10am – 7pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.
Primary Responsibilities:
- Drafts NOA and NOE letters for government and commercial specific clients
- Makes outbound calls to client specific customers to initiate letter retrieval
- Adherence to client, regulatory and accreditation requirements for letter documentation
- Demonstrate product knowledge by identifying the appropriate letter template based on the services and action within the case
- Consistently meet established productivity, adherence, and quality standards
- Other duties as assigned by manager and/or director
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED or equivalent work experience
- Must be 18 years of age or older
- Healthcare experience
- 1+ years of professional experience in an office / customer service environment
- Experience working with Microsoft Outlook, Microsoft Word, and Microsoft Excel (ability to create, edit, save and send emails, documents and spreadsheets)
- Computer experience including, but not limited to, ability to learn new computer system applications
- Flexibility to work outside standard hours of operations due to changing business needs
- Ability to work the hours of 10:00 am – 7:00 pm CST Monday-Friday including availability to work Saturdays from 10:00 am – 7:00 pm CST
Preferred Qualifications:
- Experience in an office setting using the telephone and computer as the primary instruments to perform the job duties OR customer service experience analyzing and solving customer problems
- Experience working within a Hospital, Physician’s Office, or Medical Clinical setting, Medical Terminology, ICD – 10 and CPT codes, Medicare and / or Medicaid Services, Call Center environment
- Experience in a Clerical or Administrative support related role
- Bilingual fluency in English and Spanish
Telecommuting Requirements:
- Ability 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 employees working remotely 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 $17.74 – $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
