Clinical Admin Coordinator
About the role
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. Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the "go-to" resource for information. The flexibility of working evening hours will also be required.
Location: 2845 Siena Heights, Henderson, NV
Responsibilities
- Act as a Subject Matter Expert for other team members
- Manage administrative intake of members
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
- Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
- Handle resolution/inquiries from members and/or providers
- Manage the intake of members or the admission/discharge information post notification
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Resolve inquiries from members and/or providers
Requirements
- High School Diploma/GED
- 2+ years of experience analyzing and solving customer problems
- 1+ years of experience working in the healthcare industry
- 1+ years of experience working in medical terminology
Preferred Qualifications
- Experience working with health care insurance
- Experience in a hospital, physician's office or medical clinic setting
- Experience working with Medicare and/or Medicaid Services
- Clerical or administrative support background or experience working in a call center environment
Benefits
- Paid Time Off (accrued from first pay period) plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Savings Account
- Dental, Vision, Life & AD&D Insurance along with Short-term disability 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 (pet insurance, legal insurance, LTC Insurance, etc.)
Pay
The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.
Schedule
Monday - Friday, 6:30AM - 5:30PM (8-hour shift). Supervisor will determine schedule.