Job Description

This position is Remote in Eastern, Central and Mountain time zones. You will have the flexibility to work remotely* as you take on some tough challenges.

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Administrative Coordinator serves as the main point of contact for healthcare providers and members that are receiving post-acute services. In addition, the Clinical Administrative Coordinator role serves as administrative (non-clinical) support for the remote clinical services team. This role is responsible for providing direct support to the multi-disciplinary team to anticipate and plan for continuum of care and discharge needs and communication with providers and clients. The Clinical Administrative Coordinator is responsible for processing inbound and outbound communication (i.e., fax, email, and electronic), maintaining accuracy of database documentation and the completeness of the medical record and Home & Community Care documentation system.

This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 1:30pm - 10:00pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 weeks of paid training. The hours during training will be 8:00am - 4:30pm CST. Training will be conducted virtually from your home.

Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.

Primary Responsibilities:

• Manage inbound and/or outbound telephone communication in a professional manner and according to productivity and quality standards.
• Process inbound and/or outbound electronic data and communication (i.e., faxes, emails, and electronic communication) according to productivity and quality standards.
• Enter, review and/or verify member information in the Home & Community Care documentation system and communicate approved pertinent information with healthcare providers and/or Home & Community Care team as needed.
• Enter and/or update any required data into the Home & Community Care documentation system accurately and in a timely manner.
• Complete administrative documentation for member records including but not limited to disenrollment, transitioning, creating/updating authorization, attaching documents (i.e., medical records), and logging therapy information.
• Assist in a smooth coordination of members care between health providers and the health plan.
• Establish relationships and communicate, when appropriate, to providers, clients and/or Home & Community Care field/care management staff as defined by departmental policy and process.
• Triage inbound calls/emails, manage provider/member inquiries/requests, and resolve or escalate to appropriate Home& Community Care team or health plan personnel.
• Run and/or review any reports to monitor/complete responsibilities as outlined in departmental processes.
• Act as a preceptor and mentor to new colleagues during the initial training period.
• Serve as the first line of peer support for operational and procedural questions and/or concerns.
• Follow chain of command when provider/member issues or concerns are reported.
• Functional team queue reviews to determine reallocation of resources and review for extended tag times as assigned by supervisor.
• Assist with reviews of task assignments, SLA/TAT and volume updates (to provide coverage for Clinical Admin Coordinator Sr.).
• Create and maintain training materials.
• Conduct quality audits where applicable (this may not apply to all functional areas)
• Conduct ad hoc corrections as assigned by supervisor.
• Peer coaching as assigned by supervisor.
• Conduct team engagement exercises as assigned by supervisor.
• Suggest agenda topics for team meetings.
• Cover specialized tasks/functions as assigned by supervisor.
• Assist with Sales Force Tickets where applicable.
• Assist with time studies (along with oversight by supervisor and manager)
• Assist with follow up and/or escalation calls or emails as needed.
• Attend Home & Community Care meetings as requested.
• Adhere to organizational, departmental, compliance and regulatory policies and procedures.
• Promote a positive attitude and work environment.
• Perform other duties and responsibilities as required, assigned, or requested.

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 work experience
• Must be 18 years of age OR older
• 1+ years of experience in a call center environment
• Ability to communicate with clients, team members and managers using telephone or comparable communication devices such as email, Microsoft Teams, Fax and / OR other system messaging programs
• Ability to work an 8-hour shift schedule Monday-Friday 1:30pm-10:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

• Familiarity with medical terminology and HIPAA laws
• Experience in healthcare setting
• Experience with working in a high - volume production - based environment
• Experience with meeting expected performance goals
• Written and verbal communication skills
• Critical thinking skills
• Proficient with Microsoft Word, Microsoft Excel, Microsoft Outlook, and Microsoft Teams
• Detail - oriented and ability to correctly interpret data and information in the Home & Community Care documentation system
• Ability to prioritize, plan, and organize multiple tasks / demands simultaneously
• Ability to use office equipment, such as copier, fax machine, telephone, and scanner (if applicable)

Telecommuting Requirements:

• Reside within Eastern, Central and Mountain time zones
• 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 (UHG requires a wired internet connection: cable, DSL or fiber internet service with Minimum speed standard of 25 Mb download/10-15 Mb upload. Wireless services such as satellite, hot spot, line of sight antenna cannot be used for telecommuting)

Physical and Work Environment:

• Have a location / workspace in the home that is separate from non - workspace areas and can be secured to maintain PHI / PII security and avoid non - work interruptions
• Live in a location that can receive a high-speed internet connection using a UnitedHealth Group or approved Internet Service Provider (ISP)
• Ability to remain stationary for extended time periods (2 - 3 hours)
• Telecommuting is not to be used as a substitute for child or dependent care. In order to dedicate full attention to work duties, employees must establish or continue regular child or dependent care arrangements while telecommuting

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $18 - $32 hourly based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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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