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Part time Case Coordinator, AppleCare Medical - La Palma, CA

UnitedHealth Group


Location:
PALMA, CA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1731083
Apply on the Company Site
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Job Details


Part time Case Coordinator, AppleCare Medical - La Palma, CA(Job Number:707125)
Description

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 Part-time Case Coordinators who share our passion for helping others live healthier lives.

This is a Work from Home/Telecommute position but requires that you live within a commutable distance to La Palma, CA!

*** The schedule for this job is 4pm to midnight or midnight to 8am on Saturdays and Sundays***
 
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 - 9 and CPT coding usage

Job Clinical Admin & Processing
Primary Location US-CA-LA PALMA
Other Location 
Organization AppleCare
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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