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Senior Quality Clinical Administrative Coordinator - Iowa Teleccomute

UnitedHealth Group

Des Moines, IA
Job Code:
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Job Details

743376 Senior Quality Clinical Administrative Coordinator Iowa Teleccomute

Senior Quality Clinical Administrative Coordinator - Iowa Teleccomute (743376)

Position Description

Position Description:

Let’s face it, no industry is moving faster than health care. And no organization is better positioned to move health care forward than UnitedHealth Group. We're out to use data, technology and people in ways that help drive change and make the health care system work better for everyone. 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. Take this opportunity to work with a Fortune 6 industry leader.

As a Senior Quality Clinical Administrative Coordinator you will be dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you’ll also be the “go-to” resource for information. The flexibility to work evening hours will also be required.

Primary Responsibilities
  • Act as a Subject Matter Expert for other team members within current data systems
  • Ability to support the identification, monitoring and reporting of affordability
  • Ability to successfully manage escalated calls from members, providers, and team members
  • Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
  • Quickly resolve inquiries from members, providers, and clinical leadership
  • Demonstrate strong problem solving skills in data analysis
  • Demonstrate strong excel skills and ability to gather and support data analysis, report writing and state reporting processes
  • Ability to work and develop relationships across all divisions of UHC

Required Qualifications:
  • Bachelors Degree (or higher) High School Diploma / GED and 5+ years experience in Health and Human service field
  • 2+ years experience analyzing and solving customer challenges
  • Must be able to work Monday- Friday 8:00am-5:00pm with possible overtime and evening hours.
Preferred Qualifications:
  • Experience working with medical terminology
  • Experience working with health care insurance
  • Experience in a hospital, physician's office or medical clinic setting
  • Clerical or administrative support background or experience working in a call center environment
  • Knowledge of HCBS coding / modifiers

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.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: customer service,Iowa, Telecommute,  call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims

Job Details

  • Contest Number743376
  • Job TitleSenior Quality Clinical Administrative Coordinator - Iowa Teleccomute
  • Job FamilyMedical and Clinical Operations
  • Business SegmentCommunity and State

Job Location Information

  • Des Moines, IA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionYes
  • 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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