Clinical Administrative Coordinator

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable.

About the role

This is a full-time (40 hours/week) telecommute position in the United States. The schedule is Monday through Friday, an 8-hour shift between the hours of 8:00 am to 4:30 pm EST. It may be necessary, given the business need, to work occasional overtime. If you reside in the state of Massachusetts, New Hampshire, or Rhode Island, you'll enjoy the flexibility to telecommute as you take on some tough challenges. 10% of expected travel within Massachusetts.

Responsibilities

• Provide exceptional customer service
• Manage administrative intake and data entry for clinical team of membership
• Work with providers and/or the clinical team to manage request for long-term and respite services
• Manage notifications, processing incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles
• Receive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage
• Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
• Process and distribute custom reports to providers and clinical staff
• Multitask with multiple platforms and applications
• Handle inbound/outbound phone calls to providers and other internal departments to assist with notifications and documentation

Requirements

• High School Diploma/GED
• 1+ years of experience using the telephone and computer as primary instruments in workplace setting
• 1+ years of healthcare administration experience
• Intermediate level of proficiency using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)
• Ability to work Monday - Friday, 8:00 am - 4:30 pm EST
• Reside within Massachusetts, Rhode Island, or New Hampshire
• Willing and able to travel 10% within Massachusetts

Preferred Qualifications

• 1+ years of experience working with health care insurance and/or medical claims, medical research, or medical terminology
• 1+ years of clerical or administrative support background
• 1+ years of experience working with Medicare and/or Medicaid Services
• Associate or Bachelor's degree
• Experience with medical terminology or medical research
• Claims and/or healthcare insurance experience

Skills

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Benefits

• Competitive base pay
• 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
• 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 (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

Full-time (40 hours/week), Monday through Friday, with an 8-hour shift between 8:00 am and 4:30 pm EST. Occasional overtime may be required.