Senior 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. 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.
Schedule & location
Monday-Friday, typically 8am-5pm MST. The flexibility to work evening hours will also be required. Location: 1655 E. Cactus Ave. Henderson, NV. Will be required to travel to other Henderson and Las Vegas locations for meetings, etc.
Primary responsibilities
- Act as a Subject Matter Expert for other team members
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services
- 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
- Coordinate moves with facilities (painters, repairs, etc.)
- Manage device inventory
- Collaborate with marketing team and other departments
- Assist with reporting
- 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.
Compensation
The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment.
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 experience in a customer service environment, analyzing and solving complex customer problems
- 1+ years of customer service experience in the healthcare industry
- 1+ years of experience interacting with providers on a regular basis in a provider relations and/or customer service role
Preferred qualifications
- Basic Microsoft Office Proficiency
- Knowledge of Medical Terminology
- Experience working with health insurance
- Experience in a hospital, physician's office or medical clinic setting
- Clerical or administrative support background or experience working in a call center environment
- Experience working with Medicare and/or Medicaid Services
- Project management experience in the healthcare industry
- Experience leading enterprise-scale, cross-functional initiatives involving customer insights, business strategy, and organization transformation
- 1+ years of experience supporting executive-level staff members
- Strong organizational, problem-solving, and networking skills