Clinical Administrative Coordinator

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.   

Under the supervision of the Referral Management Center Supervisor, the Clinical Administrative Coordinator position are responsible for the daily coordination of referral processes and other duties as assigned. 

This position is full-time, Monday – Friday. Employees are required to have flexibility to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.

If you reside near Irving, TX, you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Manage the internal/ external referral process and daily referral reconciliation gathering required information and documents needed, working them accordingly in compliance with established timelines 
• Act as a subject matter expert in role of senior coordinator with the ability to assist others, which may include:
  • Department Training 
  • Support with onboarding of new hires 
  • Supporting Leadership with the planning and strategizing of the daily workflow 
• Answers telephone and assist caller through the phone queue with scheduling and other needs based on the call type  
• Participate in clinic and market education, training, and meetings as needed and/or required 
• Maintains knowledge and ensures procedures are followed including referral guidelines and policies, privacy, and confidentiality  
• Deliver quality customer service, managing the referral process professionally and in a timely manner maintaining professionalism and a positive attitude with all internal and external customers/peers 
• Ability to work independently 
• Obtain and update prior authorizations and referral authorizations for both internal and external specialty offices  
• Being a patient advocate for quality healthcare in external facilities, maintaining the strictest confidentiality 
• Retain and utilize knowledge of insurance policies and procedures 
• Performs all other related duties as assigned 

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 higher)
• 2+ years of referral management experience
• 1+ years of healthcare related experience 
• 1+ year of Medical Insurance experience 
• 1+ years of experience in medical terminology   
• Intermediate level of proficiency in Microsoft Office applications including Excel, Word and Outlook 

Preferred Qualifications:

• Medical Assistant experience 
• Effective verbal and written communication skills 
• Knowledge of basic medical terminology 
• Strong customer service skills 1+ years 
• Bilingual 
• NextGen, Excel, PowerPoint, eCW 

Physical & Mental Requirements:

• Ability to lift to 25 pounds 
• Ability to push or pull heavy objects using up to 25 pounds of force 
• Ability to sit for extended periods of time 
• Ability to stand for extended periods of time 
• Ability to use fine motor skills to operate office equipment and/or machinery 
• Ability to properly drive and operate a company vehicle 
• Ability to receive and comprehend and carryout instructions verbally and/or in writing 
• Ability to use logical reasoning for simple and complex problem solving 
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

For more information on our Internal Job Posting Policy, click here.

    

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 hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

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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