Administrative Coordinator, Clinical

About The Company Optum, a subsidiary of UnitedHealth Group, is a global organization dedicated to transforming healthcare through innovative technology and compassionate care. Committed to improving health outcomes worldwide, Optum leverages cutting-edge data analytics, digital solutions, and clinical expertise to connect individuals with the appropriate care, pharmacy benefits, and resources they need to lead healthier lives. The company fosters a culture rooted in inclusion, diversity, and continuous professional development, providing employees with comprehensive benefits and growth opportunities. With a mission to help people live healthier lives and make the healthcare system work better for everyone, Optum remains at the forefront of healthcare innovation and community impact. About The Role The Clinical Administrative Coordinator position is a vital role within the healthcare operations team, primarily functioning in a remote capacity across the United States. This full-time role offers the flexibility to telecommute while supporting clinical teams by managing service requests, referrals, and authorizations. The coordinator acts as a crucial link between hospitals, clinics, providers, members, and internal clinical staff, ensuring seamless communication and process efficiency. The role involves handling multiple tasks such as intake processing, case triage, document setup, and inquiry resolution, all while maintaining accuracy and compliance with healthcare standards. The position demands a proactive approach to managing diverse responsibilities within a fast-paced environment, contributing directly to improved patient care and operational effectiveness. Qualifications High School Diploma / GED or equivalent work experienceMust be 18 years of age or olderAt least 2 years of customer service experienceProficiency with Microsoft Word, Excel, and OutlookBasic knowledge of Medical TerminologyAbility to work an 8-hour shift during business hours (7:00 am - 7:00 pm Pacific Time)Willingness to work occasional overtime and participate in weekend rotation coverage Preferred Qualifications Over 1 year of experience with authorizationsExperience working within the healthcare industry and with health insurance providersExperience in hospital, physician’s office, or medical clinic settingsCall center experienceClerical or administrative support backgroundKnowledge of ICD-9 and CPT coding systems Responsibilities Collaborate with hospitals, clinics, facilities, and clinical teams to manage service requests from members and providers via phone, fax, or provider portalProcess incoming and outgoing referrals, prior authorizations, including intake, notifications, and census updatesAssist clinical staff in setting up documents and triaging cases for Clinical Coverage ReviewHandle inquiries and resolve issues raised by members and providers promptly and professionallyMaintain accurate documentation and ensure compliance with healthcare protocolsSupport special projects and ad hoc assignments as needed to enhance operational efficiencyParticipate in training sessions and continuous learning initiatives to stay updated on policies and procedures Benefits Comprehensive health, dental, and vision insurance optionsPaid training and ongoing professional development opportunitiesFlexible telecommuting environment with a dedicated home workspacePaid time off and holiday benefitsRetirement plans including 401(k) contributionsIncentive and recognition programsEmployee assistance programs and wellness resources Equal Opportunity UnitedHealth Group is an Equal Employment Opportunity employer. We are committed to creating a diverse and inclusive workplace where all qualified applicants receive consideration for employment without regard to race, national origin, religion, age, gender, sexual orientation, gender identity, disability, veteran status, or any other characteristic protected by applicable laws. We promote a drug-free workplace and require all employees to pass a drug test prior to employment.