Clinical Admin 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.
About the role
This is a high-volume, customer service environment where you will manage member interactions over the phone with efficiency, productivity, and thoroughness. You will also work with paper and electronic medical records. The role offers the flexibility to work remotely from anywhere within the U.S., though you must be willing and able to work MST hours.
Responsibilities
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
- Manage the referral process, including intake, notification, and census roles, processing incoming and outgoing referrals and prior authorizations
- Provide appropriate triage and care coordination for notification cases requiring non-clinical assessment/intervention
- Process referrals
- Handle inbound and outbound calls
- Resolve inquiries from members and/or providers
Requirements
- High School Diploma/GED
- 2+ years of customer service experience
- Intermediate level of proficiency with MS Word, Excel, and Outlook
- Must be willing and able to work MST hours
Preferred Qualifications
- Experience working within the health care industry and with health insurance
- Experience working in a hospital, physician's office, or medical clinic setting
- Experience working in a call center
- A clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
Benefits
- Competitive base pay
- Paid Time Off (accrued from the first pay period) plus 8 paid holidays
- Medical plan options, including Health Spending Account or Health Savings Account
- Dental, Vision, Life & AD&D Insurance
- Short-term and Long-Term Disability coverage
- 401(k) Savings Plan
- Employee Stock Purchase Plan
- Education reimbursement
- Employee discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary benefits (e.g., pet insurance, legal insurance, LTC insurance)
- Performance rewards and recognition programs
Pay
The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment, determined by factors such as local labor markets, education, work experience, and certifications.
Schedule
Monday–Friday between the hours of 7:00 AM–6:00 PM MST. The specific schedule will be determined by the manager upon hire.