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Senior Clinical Administration Coordinator - Overland Park, KS

UnitedHealth Group


Location:
Overland Park, KS
Date:
11/17/2017
2017-11-172017-12-16
Job Code:
737877
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Job Details

737877 Senior Clinical Administration Coordinator Overland Park KS

Senior Clinical Administration Coordinator - Overland Park, KS (737877)

Position 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 Senior 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.

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
 
Primary Responsibilities:
  • Act as a Subject Matter Expert for other team members
  • Manage the 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
  • Provide appropriate triage and care coordination notification cases for non-clinical assessment / intervention
  • Process 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
Required Qualifications:
  • High School Diploma / GED (or higher)
  • 2+ years of Customer Service experience analyzing and solving customer problems
  • 6+ months of experience working within the Healthcare Industry
  • Ability to create, edit, save, and send documents utilizing Microsoft Word and Microsoft Excel
  • Ability to navigate a PC to open applications, send emails, and conduct data entry
  • Working knowledge of Medical Terminology to communicate with members and providers
Preferred Qualifications:
  • Experience working with Healthcare Insurance
  • Experience working in a Hospital, Physician's Office, or Medical Clinical setting
  • Professional experience in a Clerical or Administrative Support related role
  • Experience working with ICD-10 and CPT Codes
  • Experience working with Medicare and / or Medicaid Services
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do 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: UHG, Overland Park, KS, customer service, healthcare, telephonic, patient interaction, Field base, advocacy

Job Details

  • Contest Number737877
  • Job TitleSenior Clinical Administration Coordinator - Overland Park, KS
  • Job FamilyMedical and Clinical Operations
  • Business SegmentCommunity and State

Job Location Information

  • Overland Park, KS
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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