Clinical Administrative Coordinator1062385 | Eden Prairie, Minnesota | Remote

Clinical Administrative Coordinator

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. Employees are required to have flexibility to work any of our 10-hour shift Saturday-Tuesday 7:00am-5:30pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 2 weeks of on-the-job training. The hours of training will be aligned with your schedule. Training will be conducted virtually from your home.

Primary Responsibilities:

• 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 an office, administrative support, or clerical setting…