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Clinical Administrative Coordinator - Overland Park, KS

UnitedHealth Group


Location:
Overland Park, KS
Date:
04/28/2017
Job Code:
1730495
Apply on the Company Site
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Job Details


Clinical Administrative Coordinator - Overland Park, KS(Job Number:706766)
Description

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share 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 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. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.

Primary Responsibilities: 
  • Manage administrative intake of members or the admission/discharge information post notification
  • Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers
  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Receive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage
  • Review requests for adverse determination, approval notification and processing notification requirements
  • Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handle resolution/inquiries from members and/or providers that may include:
  • Benefit and Eligibility information
  • Billing and Payment issues
  • Customer material requests
  • Physician assignments
  • Authorization for treatment
  • Explanation of Benefits (EOB)
  • Verifying appropriate ICD-10 and CPT coding usage
  • Outbound phone calls to members advising of status of prior authorizations that were submitted
  • Agent will be responsible for HIPAA verifying each member, documentation and ability to maintain metrics
  • Must be able to accommodate for mandatory overtime
  • Flexibility to work an 8 hour shift between the hours of 6:00am-7:00pm Monday through Saturday
  • 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

Job Clinical Admin & Processing
Primary Location US-KS-Overland Park
Other Location 
Organization Clin Support & Notifications
Schedule Full-time
Number of Openings 2
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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