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. Ready to make a difference? Join us to start Caring. Connecting. Growing Together.
Like you, UnitedHealth Group is solid on innovation. And like you, we'll go the distance to deliver high-quality care. 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. Bring your skills and talents to a role where you'll have a chance to make an impact.
The Clinical Administrative Coordinator will be responsible for assisting with the timeliness of document submission while working as a liaison with state regional offices. This role is critical in providing essential support to the Clinical Service Coordination team.
If you are located within the state of Texas, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
- Maintain 100% adherence to State contract, CMS requirements, and Product & Program Requirements
- 100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables
- Monitor the timely receipt and accuracy of State assessments received from Service Coordinators while demonstrating compliance to ensure that all internal and State deadlines are met
- Act as an advocate for our membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed
- Proactively seek the root cause of member and provider issues and promptly communicate with all appropriate business segments of identified issues and potential solutions
- Document saving and uploading in electronic records
- Providing essential administrative support to Service Coordinators as a member of the Service Coordination team through spirit of collaboration to ensure efficiency in all administrative areas
- Contact member regarding service delivery
- Contact providers as needed for service referrals
- Track work in SharePoint or other forms
- Identify and champion opportunities and support colleagues in the pursuit of increasing Quality, Accuracy, Value, Affordability, and Timeliness
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.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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)
- 2+ years of clerical or administrative work experience
- 2+ years of experience using the telephone and computer as primary instruments to perform job duties
- Intermediate level of proficiency with Microsoft Office applications (Excel, Word, Teams and Outlook)
- Ability to keep all company sensitive documents secure
- Dedicated work area established that is separated from other living areas that provide information privacy
- Reside in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)
- Reside in the state of Texas
Preferred Qualifications:
- Medicare and/or Medicaid experience
- Organization and critical thinking skills
*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.