Clinical Admin Coordinator

** Requisition number:
** 1062825

** Job category:
** Medical & Clinical Operations

_This position is National Remote. You'll enjoy the flexibility to telecommute
* from anywhere within the U.S. 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 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.*
* Like you,  
** United Health Group
** is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases.

Bring your skills and talents to a role where you'll have a chance to make an impact.

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 7:00 am - 7:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3 - 4 weeks of paid classroom training. The hours during training will be 8:00 am - 5:00 pm CST, Monday - Friday.  
** Training will be conducted virtually from your home.*
* Watch this video ( tq68lgsj)  to understand the expectations of being a remote worker with United Healthcare.

*
* Primary Responsibilities:

*
* + Lead insurance verification and prior authorization coordination by partnering with patients, payers, and clinical teams to support timely access to care.

+ Oversee Prior Authorization, including, submission, notification, appeals, follow-up, and resolution activities.

+ Facilitate seamless patient movement through the intake and authorization lifecycle while ensuring compliance with departmental policies and payer requirements.

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

+ Experience working within the health care Industry and with health care insurance

+

Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook

+ Ability to work overtime during peak season (January - February)

+ Ability to work 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 7:00 am - 7:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends

*
* Preferred Qualifications:

*
* + 2+ years of customer service experience

+ Pharmacy experience

+ Outbound calls experience to insurance companies

+ Authorization experience

+ Experience working in a hospital, physician's office or medical clinic setting

+ Clerical or administrative support background

+ Knowledge of ICD-10 and CPT codes

** 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 United Health 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…