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Senior Clinical Administration Coordinator - Overland Park, KS

UnitedHealth Group


Location:
Overland Park, KS
Date:
08/18/2017
2017-08-182017-09-16
Job Code:
1774649
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Job Details


Senior Clinical Administration Coordinator - Overland Park, KS(Job Number:725808)
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.SM

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.

This is a team of that helps support field managers of case management and field care coordinators to help betters serve our members from an office setting. The candidate will work alongside peers on projects and work as each other's backups and report to 1 supervisor even though they are helping support MCMs and CCs who are out in the field. This team is heavily involved with obtaining documents for quality audits for our state partners.
 
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

Job Clinical Admin & Processing
Primary Location US-KS-Overland Park
Other Location 
Organization C&S Kansas
Schedule Full-time
Number of Openings 1
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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