Clinical Administrator Coordinator

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 doingyour life’s best work.SM

Like you, UnitedHealth Group is strong on innovation. And like you, we’ll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our members and providers. You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have a chance to make an impact.

The Clinical Administrative Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service. Supports the teams in meeting state compliance goals.Training will be conducted virtually from your home.

This is for a full-time (40 hours/week) Telecommute position in the United States. The schedule is Monday through Friday an 8-hour shift between the hours of 8:30 am to 5:00pm EST.The schedule will be determined by the supervisor.

If you are located within Eastern Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Primary Responsibilities:

• Provide customer service for incoming and outgoing telephone calls to and from members, providers, employer groups and other persons deemed necessary by management
• Provide claims support by reviewing, researching, and investigating all clinical claims to assure members received the appropriate critical measures
• Assists members in making follow-up appointments with his/her Provider and / or Specialist to access needed health services to close the gap in care
• Provide telephone follow-up to ensure members are familiar with their Providers and are compliant with the preventive care services as defined by the guidelines
• Mail Appointment cards reminder to members that were successfully scheduled for their exams
• Mail call me letters to members unsuccessfully contacted
• Assist with the scheduling Clinic Days
• Assist other activities in the Quality Dept. as needed
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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) or 4+ years of experience working within the healthcare industry or with health insurance
• 2+ years of experience solving customer problems
• 2+ years of experience working in the healthcare industry
• Intermediate level of proficiency with Microsoft Word (create, edit, and save documents), Microsoft Excel (create, edit, and save spreadsheets), and Microsoft Outlook (email and calendar management)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Must reside in New Jersey

Preferred Qualifications:

• Bilingual fluency in English and Spanish
• Knowledge of HEDIS measures
• Experience with working with health care insurance
• Experience with working in a hospital, physician's office, OR medical clinic setting
• A clerical OR administrative support background
• Experience with working in a call center

Soft Skills:

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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, #Green