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Senior Clinical Administrative Coordinator - Lenexa, KS

UnitedHealth Group


Location:
Lenexa, KS
Date:
02/22/2018
2018-02-222018-03-23
Job Code:
746625
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Job Details

746625 Senior Clinical Administrative Coordinator Lenexa KS

Senior Clinical Administrative Coordinator - Lenexa, KS (746625)

Position Description

Position Description:

Let's talk about meaningful work. UnitedHealth Group is always looking for new ways to improve our ability to deliver high-quality care. As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers. You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases. It's truly an opportunity to make an impact on a huge scale. 


Primary Responsibilities:

  • Act as a subject matter expert, providing support for your team as well as handling escalated issues
  • Ensure all notices of action and extension letters comply with applicable client, federal and state rules, laws, consent decrees and accreditation standards
  • Coordinate internal reviews on denial letters to determine compliance with letters and ensure letter corrections are made within regulatory timeframes
  • Maintain extensive knowledge of regulatory and accreditation requirements
  • Maintain knowledge of state rules, contracts and federal legislation/regulations

Requirements:
  • High School Diploma / GED or higher
  • Professional experience with Microsoft Office (Word (create, edit, save) Excel (create, edit, save) Outlook (Send emails, receive emails, appointments)
  • 1+ years of customer service experience
  • Knowledge of medical insurance benefits

Preferred Qualifications:

  • Medical infusion or specialty experience
  • Bilingual

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

 

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.SM

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: Senior, CAC, Optum, UHG, Lenexa, KS, Medical, Insurance, Benefits, Medical Insurance

Job Details

  • Contest Number746625
  • Job TitleSenior Clinical Administrative Coordinator - Lenexa, KS
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptumRx

Job Location Information

  • Lenexa, 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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