UnitedHealth Group Clinical Administrative Coordinator - Telecommute Central Time Zone in Dallas, Texas

If you are located in the Central time zone, you will have the flexibility to telecommute* as you take on some tough challenges. Up for the challenge of a lifetime? Join and lead a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of our millions of customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.SM

In this role, you will be part of a team that works together to achieve team objectives, including meeting the company's standards of production and quality while maintaining applicable turnaround times and standards. The Clinical Admin Coordinator (CAC) team for provides administrative support to inpatient care management clinicians in requesting and managing the incoming clinical information from providers used in clinical reviews, a critical activity to ensuring UnitedHealthcare members get the right care at the right time in the right setting, a key to appropriate utilization of healthcare services and improve adherence with medical treatment plans. You will lead by example with a positive attitude and demonstrate the fundamentals of being a team player.

This Clinical Administrative Coordinator position is full-time (40 hours/week) Monday - Friday. It may be necessary, given the business need, to work occasional overtime.

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

Primary Responsibilities:

  • Provides administrative clinical support to the inpatient clinical team up to including requesting clinical information as directed the Inpatient nurse

  • Manage incoming clinical information from providers and external partners

  • Ensure a timely acknowledgement and response to all fax requests for medical services documents received providing appropriate feedback to address processing issues

  • Maintain high level of data integrity and compliance to set turnaround time to meet regulatory/contractual requirements and operational metrics

  • Communicate with the clinical team to ensure the provider receives a response with necessary information

Required Qualifications:

  • High School diploma or GED

  • 1+ year of experience with Medical Terminology

  • 1+ year of experience working within the healthcare industry, hospital, physician's office or medical setting and/or a call center environment

Preferred Qualifications:

  • Associate's or Bachelor's Degree

  • 1+ year of experience working with Medicare and/or Medicaid

  • Previous work experience in a virtual environment

  • Ability to perform ICD10, CPT and HCPC coding

Telecommuting Requirements:

  • Reside within the Central time zone

  • Required to have a dedicated work area established that is separated from other living areas

  • Required to have a work area in a section of the residence that provides information privacy

  • Required to keep all Company sensitive documents secure

  • Required to have lockable drawers for the securing of confidential information

  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. SM

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.

Keywords: customer service, call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims, Medical Terminology, Medical Coding, telecommuting, work at home