At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Clinical Administrative Coordinator will work in a high volume, customer service environment and will need to be efficient, productive and thorough dealing with our members over the phone.
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 8:30am - 5:00pm EST M-F. It may be necessary, given the business need, to work occasional weekends (Saturday/Sunday).
Approximately 25% of travel is required within Maryland for clinical days and marketing events.
Training will be on site for approximately 2 weeks in Columbia, MD.
If you are located within the state of Maryland, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Manage administrative intake of members
- Work with clinics, facilities and the quality team to manage requests for services from members and/or providers
- Initiating outbound and handling inbound calls using a dialer system
- Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
- Handle resolution/inquiries from members and/or providers
- Will work independently
- Other duties as assigned
You'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 Qualifications:
- High School Diploma/GED (or higher)
- 2+ years of customer service experience
- Intermediate level of proficiency with Microsoft Word, Excel (create, edit, save documents/spreadsheets) and Microsoft Outlook (email and calendar management)
- Ability to work 8:30am - 5:00pm, Monday - Friday EST
- Resides within the state of Maryland
- Willing and able to travel up to 25% of the time (Domestic) within the state of Maryland
- Access to reliable transportation & valid US driver's license
Preferred Qualifications:
- Experience working within the health care Industry and with health care insurance
- Experience working in a hospital, physician's office or medical clinic setting
- Experience working in a call center
- Experience working in a metric-based environment
- Clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
Telecommuting Requirements:
- Reside within the state of Maryland
- 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.
Soft Skills:
- Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in a respectful, timely manner, consistently meeting commitments)
- Thrive in a virtual team environment
- Multi-Task with efficiency
- Embody our values of trust, compassion, and empathy
- Effectively navigating computer programs during phone calls
- Detail oriented
*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 $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
