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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.

What makes your clinical career greater with UnitedHealth Group ? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

The Clinical Administrative Coordinator is responsible for working with our Home and Community Based Services managing requests for services from the Health Plans Service / Care Coordinators while ensuring a high level of customer service and maximizing productivity.

This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM - 5:00 PM CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training. The hours during training will be 9:00 AM - 6:00 PM CST from Monday - Friday. Training will be conducted virtually from your home.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Responds to incoming provider calls and complete outbound calls to providers

• Resolves customer service inquiries which could include: entering notification, provide status of an existing notification and determining if notification is required.

• Manage and take ownership of administrative tasks as assigned

• Coordinate with care coordination timely to obtain case clarification

• Completes notification wizard along with ICD 10 and HCPC / CPT coding with strong attention to detail

• Notifying providers of case determination

• Constantly meets established productivity, schedule adherence, productivity, and quality standards while maintaining good attendance and accountability

• Ability to multi - task, this includes ability to understand multiple products and multiple levels of benefits within each product

• Ability to remain focused and productive each day though tasks may be repetitive

• Organizing work and develop strategies to adapt to constantly changing workload

• Utilize job aids and critical thinking skills

• Punctual / Consistent Attendance is essential

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

• 2+ years of customer service experience

• 1+ years of experience in working with ICD - 9 / 10 and CPT codes

• Any experience with working within the healthcare industry

• Working knowledge of medical terminology

• Experience in working with a PC and Windows applications, with the ability to learn other sometimes complex systems

• Experience in working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)

• Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 8:00 AM - 5:00 PM CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Professional experience in a clinical, clerical, OR administrative support related role

Telecommuting Requirements:

• 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

Physical and Work Environment:

• Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods of close vision looking at a computer monitor

• Service center environment with moderate noise level due to Representatives talking, computers, printers, floor activity

*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.

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.

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.

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