Associate Clinical Administrative Coordinator

About the Role

This position is Remote in the Eastern Time Zone. You will be part of the Optum Care at Home team, working with an interdisciplinary care team to help patients navigate the health care system and connect them to key support services.

Key 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 in a high-volume, customer service environment.
• Conduct live outreach, educating members about program benefits and services.
• Help to manage member cases.

Requirements & Tech Stack

• High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 1+ years of customer service experience analyzing and solving customer problems.
• 1+ years of experience in a telephonic customer service position, such as a call center.
• Proficiency with Microsoft Word and Microsoft Excel (ability to create, edit, save, and send documents and spreadsheets).
• Ability to work full time.
• Flexibility to work normal business hours of 8:00 am - 5:00 pm EST.
• Ability to work occasional overtime as needed.
• Reside within Eastern Time Zone.
• 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.
• Ability to type and talk at the same time and navigate through multiple screens.

Preferred Qualifications

• Call center experience.
• Knowledge of ICD-9 and CPT codes.
• Clerical OR administrative support background.
• Experience working in a metric-driven work environment.
• Experience working with Medicare and / OR Medicaid Services.
• Experience working within the health care Industry and with health care insurance.

Soft Skills

• Ability to work independently.
• Strong time management skills.