UnitedHealth Group Clinical Administrative Coordinator - Las Vegas, NV in Las Vegas, Nevada
This is high volume, customer service/call center environment. When speaking over the phone you will need to be efficient, productive and thorough while interacting with Hospitals, Doctor's Office's and Internal Departments (Case Management).
You also must be able to work a flexible schedule that includes evening hours & weekends
Positions in this function includes managing incoming calls, managing requests for services from Hospitals, Doctor's Office's and Internal Departments providing information on available network services and transferring calls as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.
Works over the phone with hospitals, clinics, facilities and the clinical team to manage requests for services from 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
Moderate work experience within own function
Some work is completed without established procedures
Basic tasks are completed without review by others
Supervision / guidance is required for higher level tasks
High School Diploma / GED (or higher)
2+ years’ experience working in a hospital, physician's office or medical clinic setting
Experience 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 7 days a week, including weekends and holidays, per business needs
Flexibility to change work shifts, as needed, per business needs
Experience working within the health care Industry and with health care insurance
A clerical or administrative support background
Knowledge of ICD - 10 and CPT codes
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords: UnitedHealth Group, Healthcare, Administrative Coordinator, Las Vegas, Clinical Admin