AddressIf you are located within Lexington and Louisville, KY, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others and start doing your life's best work.SM
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 and start doing your life's best work.SM
The Clinical Administrative Coordinator takes will be responsible for managing administrative intake of members, work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers. Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles. Assist the clinical staff with administrative task and member/provider correspondence. Handle outbound/inbound for resolution/inquiries from members and/or providers.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to work during our normal business hours of 8:00am - 5:00pm (Eastern Standard Time). It may be necessary, given the business need, to work occasional overtime. (Optional: After completed training - a compressed work schedule of 4 days/10hrs shift). This is a remote position however, you may be required to come into the office for mandatory meetings at the office location of 9100 Shelbyville Road Suite 270 Louisville, KY 40222.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Primary Responsibilities:
- Manage administrative intake of members
- Ensures all potential member needs are identified and processed to Care Coordinator appropriately for risk validation when applicable
- Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
- Assist the clinical staff with administrative task and member/provider correspondence
- Perform outbound calls to ensure services availability for members.
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)
- Must reside in Louisville or Lexington, Kentucky due to contract requirements
- 1 years of professional experience in an office / customer service setting
- Intermediate experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents), Microsoft Word (ability to create, edit, save, and send documents), Microsoft Excel (ability to create, edit, save, and send spreadsheets) and Microsoft PowerPoint (ability to open, edit, save, and send documents)
- Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Telecommuting Requirements:
- Reside within Lexington and Louisville, KY
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
- Associate Degree (or higher)
- Experience working in a Clerical or Administrative role
- Experience working in Healthcare or Medical Insurance
- Experience working with Hospital, Physician or Medical Clinical settings
- Medical Terminology experience
- Medicaid experience
Soft Skills:
- Excellent written and verbal communication skills
- Work independently and a team-player
- Ability to remain focused and productive each day though tasks may be repetitive
- Physical Requirements and Work Environment:
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV / AIDS and High - risk Pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your life's best work.SM
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 #YELLOW
