Associate Clinical Administrative Coordinator

This position is Remote in Pacific Standard Time zone. You will have the flexibility to work remotely* 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 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.

About the role

• Full-time position
• Rotating evenings position to include holidays and alternating weekends
• Occasional overtime may be required
• Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 3:00 pm - 11:30 pm PST
• Primary responsibilities include:
• Exhibiting behavior and communication skills that demonstrate Optum's commitment to superior customer service
• Ensuring proper input of inpatient and outpatient authorizations
• Informing care managers of admission, eligibility and benefits issues
• Entering, updating and closing acute, observation, day surgery and SNF admission referrals within designated timeframes
• Printing, sending mails or faxes or verbally providing authorizations / referrals to providers and facilities
• Monitoring fax queues for new admission notifications
• Completing data entry and documentation
• Processing referrals for DME and coordinating home health services according to established policies, procedures, guidelines and timeframes
• Redirecting referrals to utilization management or medical director
• Independently handling incoming referrals without supervision
• Directing providers and patients to contracted provider networks and updating patient information as needed
• Providing length of stay for exhaustion of SNF benefits
• Arranging post discharge appointments
• Facilitating exchange of information between all levels of care managers to ensure continuity of care
• Prioritizing and handling incoming calls, referrals and other issues
• Assisting with answering telephones and maintaining files, logs or other reports
• Acting as a resource for team members
• Participating in flexible weekday scheduling and weekend/ holiday coverage rotation per business needs
• Seeking and identifying opportunities for process improvement
• Meting or exceeding productivity targets
• Using, protecting, and disclosing Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Performing additional duties as assigned

Responsibilities

• Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
• Safeguards all company sensitive documents securely.
• Keeps a dedicated work area established that is separated from other living areas and provides information privacy.
• Lives in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Qualifications

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience in a healthcare setting (doctor's office, medical Insurance provider or acute care setting)
• Experience with computers and Windows PC applications, which includes the ability to learn new and complex computer system application
• Knowledge of medical terminology
• Ability to work with multiple computer platforms simultaneously
• Ability to work full time

Preferred Qualifications

• Knowledge of CPT and ICD-10 coding
• Basic understanding of managed care principles

Telecommuting Requirements

• Reside within Pacific Standard Time zone
• Ability to keep all company sensitive documents secure (if applicable)
• Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 3:00 pm - 11:30 pm PST
• This is a rotating evenings position to include holidays and alternating weekends
• Occasional overtime may be required

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Pay

The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.