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  • Las Vegas, NV

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Clinical Administrative Coordinator - Las Vegas, NV

UnitedHealth Group • Las Vegas, NV

Posted 4 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
Health Care

Job Description

Position 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 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.

Under the manager direction, functions as a Clinical Administrative Coordinator in the Utilization Management department. Primarily responsible for initiation of cases by data entry of clinical into the Facets system, via telephone, fax or computer. Electronically routes cases to the nurse for review and decision. After decision, is responsible for accurate case completion to include generation of approval letters while staying within compliance time frames. Communicates with providers and other departments as needed. Works independently with minimal supervision.

Primary Responsibilities:
  • Review and process fax and telephone requests to meet department key indicator productivity and accuracy standards; maintain minimum of 95% case data entry accuracy
  • Follow department policy regarding accurate documentation of clinical data, demographic and product information, provider / facility contract status, appropriately route cases to RN for clinical review, follow departmental policy for non-clinical level notifications
  • Maintain 100% accuracy of letter generation within compliance time frames
  • Provide high level of customer service while communicating with internal departments and provider office staff as pertains to performance of job responsibilities
  • Takes responsibility for problem solving to achieve key indicator goals

Required Qualifications:
  • High School Diploma or GED
  • 1+ years of experience working in a Hospital, Physician's Office, or Medical Clinical setting
  • Previous experience with Medical Terminology
  • Previous experience working with ICD-10 and CPT codes
  • Ability to utilize Microsoft Word, Microsoft Excel, and Microsoft Outlook
  • Ability to navigate a PC and open applications
Preferred Qualifications:
  • Insurance Verification and Eligibility experience
  • Previous DME experience (Durable Medical Equipment)
  • Previous Prior Authorization experience
  • Call Center experience
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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, Las Vegas, customer service, healthcare, telephonic, patient interaction, field based, advocacy
Job ID: 2551_717324
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