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 Clinical Administrative Coordinator (CAC) is a multi-faceted role within Optum Health Risk Operations that encompasses different levels of administrative support. The Clinical Administrative Coordinator serves as a bridge, allowing for a seamless transition for members and providers moving through the continuum of care. This role can include initial triage of members for possible transition to clinical staff, managing admission and discharge census information, serving as a point of contact for facilities and clinical teams, telephonic engagement with our members and providers, providing information on available network services, managing the referral process to connect members with all available resources, management of prior authorizations, and generation of written determination notifications.
The National Letter Team Letter Coordinator is responsible for drafting Notice of Action (NOA) and Notice of Extension (NOE) letters for government and commercial specific clients that adhere to the state and federal regulatory requirements. The Letter Coordinator also completes outbound calls to client-specific customers requesting the return of specific letters.
Major Responsibilities:
Drafts NOA and NOE letters for government and commercial specific clients.
Makes outbound calls to client specific customers to initiate letter retrieval.
Adherence to client, regulatory and accreditation requirements for letter documentation.
Demonstrate product knowledge by identifying the appropriate letter template based on the services and action within the case.
Consistently meet established productivity, adherence, and quality standards.
Other duties as assigned by manager and/or director.
*** ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***
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:
1+ years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties OR customer service experience analyzing and solving customer problems
Healthcare experience
Experience working with Microsoft Outlook, Microsoft Word, and Microsoft Excel (ability to create, edit, save and send emails, documents and spreadsheets)
Computer experience including, but not limited to, ability to learn new computer system applications
Ability to work the hours of 08:00 am - 8:00 pm AST Monday-Friday including availability to work Saturdays from 10:00 am - 8:00 pm AST (It may be necessary, given the business need, to work Holidays, weekends and occasional overtime)
Bilingual Proficiency (English and Spanish)
Preferred Qualifications:
Experience working within a Hospital, Physician's Office, or Medical Clinical setting, Medical Terminology, ICD - 10 and CPT codes, Medicare and / or Medicaid Services, Call Center environment
Professional experience in a Clerical or Administrative support related role
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.
When it comes to your health, everything matters. That’s why UnitedHealthcare is helping people live healthier lives and making the health system work better for everyone. Our health plans are there for you in moments big and small, delivering a simple experience, affordable coverage, and supportive care.
At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable for all involved; one that delivers high quality care, responsive to the needs of each person and the communities in which they live. With connections to more than 1.3 million physicians and care professionals and 6,500 hospitals and care facilities across the globe, we can collaborate in new ways to improve patient care while providing customizable and comprehensive solutions in any marketplace, anywhere.
Our Values
Integrity: Honor commitments. Never compromise ethics.
Compassion: Walk in the shoes of the people we serve and those with whom we work.
Relationships: Build trust through collaboration.
Innovation: Invent the future. Learn from the past.
Performance: Demonstrate excellence in everything we do.
For more information about UnitedHealthcare, click here: https://www.uhc.com/
For information about careers at UnitedHealthcare, click here: https://www.workatuhc.com
