Clinical Administrative 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. 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.
As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact. This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.
Location
1655 E. Cactus Ave. Henderson, NV. Training and coverage may be required at other clinics in Las Vegas and Henderson, depending on business need.
Schedule
Monday-Friday, 8am-5pm MST
Responsibilities
- Handle high volume of incoming and outbound calls
- 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
- In charge of scheduling appointments
Benefits
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving 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.)
Required Qualifications
- High School Diploma/GED
- 2+ years of customer service experience
- Intermediate level of proficiency with Microsoft Word, Excel, and Outlook
Preferred Qualifications
- Experience working in a call center
- Experience working within the healthcare industry and with health insurance
- Experience working in a hospital, physician's office, or medical clinic setting
- A clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
- Previous EPIC experience
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, certifications, etc.