Clinical Administrative Coordinator - Remote in CA

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, dataand resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefitsand career development opportunities. Come make an impact on the communities we serve as you help us advance health optimizationon a global scale. Join us to start Caring. Connecting. Growing together.

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.

This position is full time. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST. It may be necessary, given the business need, to work occasional overtime and weekend rotation up to twice a month.

We offer 2 weeks of paid training. The hours during training will be aligned to your schedule. Training will be conducted virtually from your home.

If you are located within the state of California, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Manage the intake of members or the admission / discharge information post notification
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and / or providers
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
• Provide appropriate triage and care coordination notification cases for non - clinical assessment / intervention
• Handle resolution / inquiries from members and / or providers
• Other duties as assigned

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

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 equivalent years of experience
• Must be 18 years of age OR older
• 1+ years of customer service experience with analyzing and solving customer problems
• Experience with Computers and Windows based programs
• Ability to work any of our shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST including the flexibility to work occasional overtime and weekend rotation up to twice a month based on business need

Preferred Qualifications:

• Experience with working within the health care Industry and with health care insurance
• Clerical OR administrative support background
• Knowledge of ICD - 10 and CPT codes
• Experience in working with Medicare and / OR Medicaid Services
• Call center experience
• Experience with working in a metric - driven work environment
• Experience with Microsoft Word and Microsoft Excel (ability to create, edit, save, and send documents and spreadsheets)

Telecommuting Requirements:

• Reside within the state of California
• 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:

• Ability to type and talk at the same time and navigate through multiple screens

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. 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.

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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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