Clinical Administrative Coordinator - Remote in Virginia

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

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.

Schedule

• Monday through Friday from 8 am to 5 pm Eastern Standard Time
• Weekends (Saturday or Sunday) will be required on a rotating basis
• If you reside in the state of Virginia, you'll enjoy the flexibility to telecommute* from home
• Expectation to work from the office in Richmond, VA approximately once per quarter

Responsibilities

• 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

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 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.)

Requirements

• High School Diploma/GED OR 3+ years equivalent experience working within the health care industry or with health care insurance
• 2+ years of customer service experience
• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in the state of Virginia
• Willing and able to commute to Richmond, VA office approximately once per quarter

Preferred Qualifications

• Prior work at home experience
• Experience working within the health care industry and with health care insurance
• Experience working in a hospital, physician's office or medical clinic setting
• A clerical or administrative support background
• Experience working in a call center

Skills

• Strong oral and written communication skills, specifically telephone skills
• Demonstrated effective organizational and scheduling skills
• Excellent customer service skills
• Excellent interpersonal and problem-solving skills
• Attention to detail
• Excellent time management and prioritization skills
• Flexibility and ability to follow through on all tasks in a timely fashion
• Strong team player with initiative in achieving individual and team goals
• Able to handle sensitive issues with members and providers in a confidential manner
• Creative problem-solving skills with the ability to use community and network resources to meet members' needs
• Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment

Pay

The hourly pay for this role will range from $18 - $32 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.