Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, Optum, part of the UnitedHealth Group family of businesses is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, Optum, part of the UnitedHealth Group family of businesses is pursuing innovative new ways to operate our service centers and improve on our ability 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 the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.(sm)What makes your clinical career greater with Optum, part of the UnitedHealth Group family of businesses? 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.Primary Responsibilities: Act as a Subject Matter Expert for other team membersManage the intake of members or the admission/discharge information post notificationWork with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providersManage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census rolesProvide appropriate triage and care coordination notification cases for non-clinical assessment/interventionProcess notification requirementsAssist the clinical staff with setting up documents/triage cases for Clinical Coverage ReviewHandle resolution/inquiries from members and/or providers that may include: Benefit and Eligibility informationBilling and Payment issuesCustomer material requestsPhysician assignmentsAuthorization for treatmentExplanation of Benefits (EOB)Verifying appropriate ICD-9 and CPT coding usage
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.