Clinical Admin Coordinator

Primary Responsibilities

• Lead insurance verification and prior authorization coordination by partnering with patients, payers, and clinical teams to support timely access to care.
• Oversee Prior Authorization, including, submission, notification, appeals, follow-up, and resolution activities.
• Facilitate seamless patient movement through the intake and authorization lifecycle while ensuring compliance with departmental policies and payer requirements.

Required Qualifications

• A High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• Experience working within the health care Industry and with health care insurance.
• Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook.
• Ability to work overtime during peak season (January - February).
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications

• 2+ years of customer service experience.
• Pharmacy experience.
• Outbound calls experience to insurance companies.
• Authorization experience.
• Experience working in a hospital, physician's office or medical clinic setting.
• Clerical or administrative support background.
• Knowledge of ICD-10 and CPT codes.

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable).
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service (UHG requires a wired internet connection: cable, DSL or fiber internet service with Minimum speed standard of 25 Mb download/10-15 Mb upload. Wireless services such as satellite, hot spot, line of sight antenna cannot be used for telecommuting.)
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay and Benefits

• The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment.
• We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

About the Role

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care.

Benefits

We offer 3 - 4 weeks of paid classroom training. The hours during training will be 8:00 am - 5:00 pm CST, Monday - Friday. Training will be conducted virtually from your home.

Schedule

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.