Associate Clinical Administrative Coordinator - ...

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 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. The Associate Clinical Administrative Coordinator serves as the main point of contact for healthcare providers and members that are receiving post-acute services. In addition, the Associate Clinical Administrative Coordinator role serves as administrative (non-clinical) support for the remote clinical services team. This role is responsible for providing direct support to the multi-disciplinary team to anticipate and plan for continuum of care and discharge needs and communication with providers and clients. The Associate Clinical Administrative Coordinator is responsible for processing inbound and outbound communication (i.e. telephonic, fax, electronic notifications and letters), maintaining accuracy of database documentation and the completeness of the medical record and naviHealth database. 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 8:00 AM - 4:30 PM CST. It may be necessary, given the business need, to work occasional overtime. We offer 3+ weeks of on-the-job training. The hours during training will be 8:00am to 4:30pm CST, Monday - Friday. Training will be conducted virtually from your home. All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Primary Responsibilities: Manage inbound and outbound telephone communication in a professional manner and according to productivity and quality standards. Process inbound and outbound data and communication (i.e. faxes, emails and electronic communication) according to productivity and quality standards. Enter, review and or verify member information in the nH Coordinate care management platform and communicate approved pertinent information with healthcare providers and/or naviHealth team as needed. Enter the required data into the naviHealth database accurately and in a timely manner. Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating authorization shells, attaching documents (i.e. medical records), and logging therapy information. Assist in a smooth coordination of members care between health providers and the health plan. Establish relationships and communicate, when appropriate, to providers, clients and/or naviHealth field/care management staff as defined by departmental policy and process. Triage inbound calls manage member inquiries/requests and resolve or escalates to appropriate naviHealth or health plan personnel. Run and/or review reports to monitor assigned team duties are completed. Follow chain of command as appropriate when reporting issues or concerns. Attend naviHealth meetings as requested. Adhere to organizational, departmental, compliance and regulatory policies and procedures. Promote a positive attitude and work environment. Perform other duties and responsibilities as required, assigned, or requested. 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 and / OR equivalent work experience Must be 18 years of age OR older 1+ years of previous call center experience Microsoft Word (edit, create & save documents), Microsoft Excel (editing spreadsheets), and Microsoft Outlook (email, Teams) Ability to work full-time, Monday - Friday from 8:00 AM - 4:30 PM CST including the flexibility to work occasional overtime given the business need Preferred Qualifications: Experience in healthcare setting Familiarity with medical terminology and HIPAA laws Previous experience working in a metrics-based environment Previous experience working in a virtual environment Ability to interpret data and information in the nH Coordinate system 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. Soft Skills: Excellent written and oral communications skills Must be organized and able to prioritize, plan, and handle multiple tasks/demands simultaneously Demonstrated critical thinking skills Ability to verbally articulate and communicate with manager, team members, and customers California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, 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. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO

Created: 2024-10-19