Clinical Administrative Coordinator – US Telecommute

Combine two of the fastest - growing fields on

the planet with a culture of performance, collaboration and opportunity and

this is what you get. Leading edge technology in an industry that's improving

the lives of millions. Here, innovation isn't about another gadget, it's about

making Healthcare data available wherever and whenever people need it, safely

and reliably. There's no room for error. Join us and start doing your life’s best work. SMThe Referral and Precertification team is

looking for someone with excellent customer service skills, ability to handle

sensitive and confidential situations. The right person must be detailed

oriented and possess strong organizational and time management skills. This

position requires someone who is a team player and works well under pressure

while making sure that duties are performed within the specified time limits.

The incumbent will process a high volume of referrals and pre-certifications

for multiple medical specialties. This

person will also be responsible for completing all referrals and precerts

according to the established protocol of the Centralized Services

Department. This person will also be

communicating information pertaining to referrals and/or precets to patient

clientele, external medical offices and internal staff as per company policy.The ideal candidate will have experience in

processing prior authorizations,

referrals, and scheduling appointments for some procedures. Complete

understanding of the concept for PCP and referral protocols as defined by

insurance carriers. A passion for providing exceptional customer service to all

of our clients, internal and external is essential for consideration. The

Referral and Precertification team is a centralized service; we serve as

Subject Matter Experts for our internal customers providing information and

assistance regarding difficult inquiries.Primary Responsibilities:

Obtaining referral and/or precertification forpatients for internal and external appointments or orders.

Scheduling and obtaining precertification forsome procedures.

Communicating information pertaining toreferrals and/or precertification to patients, external medical offices andinternal staff.

Conducting daily investigations to validatethe insurance eligibility of patients scheduled for upcoming specialtyappointments that require a referral.

Completing assigned special projects as neededthese can include but are not limited to research projects pertaining toinsurance company benefit guidelines and requirements.

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 higher)

1+ year experience in a customerservice role, working with insurance verification and medical office procedures

1+ year experience working with priorauthorizations, referrals and scheduling appointments for procedures and an understandingof the concept for PCP and referral protocols as defined by insurance carriers

Microsoft Office Experience (Microsoft Word -Creating documents, Microsoft Excel - Creating and editing spreadsheets,working with formulas and Microsoft Outlook - Creating meeting invites and sendingand receiving email)

Soft Skills:

Ability to adapt to changing workflows, processes and work queues with strong time management skills, the ability to plan and prioritize and complete designated tasks efficiently

Ability to support team, departmental and organizational protocols, workflows, policies and procedures

Careerswith OptumInsight. Information and technology have amazing power to transform

the Healthcare industry and improve people's lives. This is where it's

happening. This is where you'll help solve the problems that have never been

solved. We're freeing information so it can be used safely and securely

wherever it's needed. We're creating the very best ideas that can most easily

be put into action to help our clients improve the quality of care and lower

costs for millions. This is where the best and the brightest work together to

make positive change a reality. This is the place to do your life’s best work. SMDiversity 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.Keywords: Precertification, UHG, Procedure, Insurance, PCP, verifications, scheduler, customer service, UHGView our

Covid-19 Resources Page at: https://info.uhg.com/