Clinical Administrative Coordinator – Remote in Tennessee

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. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

UnitedHealth Group is seeking a Clinical Administrative Coordinator who shares our passion for helping others live healthier lives. As one of the world’s leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical administrative team, you will work collaboratively with our clinical partners and other internal stakeholders. You’ll be a key component in member satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. Bring your skills and talents to a role where you’ll have the opportunity to make an impact on a huge scale. 

Schedule: Monday through Friday between the hours of 8 am to 5 pm Central Standard time. This is for a full-time (40 hours/week) position.

Location: Remote within the state of Tennessee

You’ll enjoy the flexibility to telecommute* from anywhere within Tennessee as you take on some tough challenges. 

Primary Responsibilities:

• Manage administrative intake of members
• Work collaboratively with clinical partners and Home and Community Based Service providers to manage and authorize services
• Process incoming and outgoing referrals, including intake and notifications to providers
• Handle resolution inquiries from members, providers and clinical partners
• Initiate outreach to providers concerning availability, authorization, and compliance
• Collaborate with internal departments including Advocates, Clinical Team and Leadership to resolve any issues relating to Provider’s compliance
• Maintain confidentiality and adhere to HIPAA Requirements
• Consistently meet established productivity, scheduling, and quality standards
• Navigate and document inside multiple clinical applications
• Excellent communication skills
• Strong problem-solving skills
• Detail oriented
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher) OR 4+ years of experience working within the healthcare industry or with health insurance
• 2+ years of customer service experience
• 1+ years of experience working within the healthcare industry or with health insurance
• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
• Ability to work the hours of 8 am to 5 pm Central Standard time
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)  
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Must reside in the state of Tennessee

Preferred Qualifications:

• Prior work at home experience
• Experience in a clerical or administrative role
• Medicare and/or Medicaid experience
• Long-term care knowledge

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

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