At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM

The Clinical Administrative Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service. Supports the teams in meeting clinical and service goals.

Schedule: This is a full-time (40 hours/week) telecommute position. Schedule is Monday through Friday an 8-hour shift between the hours of 8:30 am to 5:00 pm EST

Location: Reside in the state of New Jersey

If you live in the state of New Jersey, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Manage administrative intake of members
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
• Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
• Handle resolution/inquiries from members and/or providers
• Extract and review of fax requests for medical or clinical services, and ensure that these requests are assigned to the correct individual(s)
• Access electronic member files using policy or id number
• Determine member eligibility
• Provide support to field staff in locating providers who can assist our members. This will include calling/ emailing / faxing multiple providers
• Mail member materials, including care plans, and open, sort and distribute incoming correspondence via hard copy or e-mail
• Fax care plans to providers on the member’s care team
• Follow protocols to task requests appropriately
• Reference automated job aid tools via the computer to identify appropriate procedures when needed
• Consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
• Maintain Confidentiality and adhere to HIPAA Requirements.
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher) OR 4+ years of experience working within the healthcare industry or with healthcare insurance
• 2+ years of customer service experience
• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management) and ability to use multiple web applications
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Reside in the state of New Jersey with the ability to travel 10% of the time to go into the office at 1 Tower Center Blvd, East Brunswick, NJ 08816 for quarterly meetings

Preferred Qualifications:

• 1 + years of experience working with medical terminology
• Clerical or administrative support background
• Experience with working in a call center
• Experience working within the health care Industry and with health care insurance
• Experience working in a hospital, physician's office or medical clinic setting
• Prior work at home experience
• Knowledge of ICD - 9 and CPT codes

Soft Skills:

• Strong oral and written communication skills — specifically telephone skills
• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
• Excellent customer service skills
• Excellent interpersonal and problem-solving skills
• Attention to detail, as observed in day-to-day work
• Excellent time management and prioritization skills
• Ability to maintain professionalism and a positive service attitude at all times
• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
• Strong team player and team building skills
• Able to handle sensitive issues with members and providers in a confidential manner
• Demonstrates initiative in achieving individual, team, and organizational goals and objectives
• Creative problem-solving skills with the ability to use community and network resources to meet members' needs.

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

New Jersey Residents Only: The hourly range for New Jersey residents is $16.00 to $31.44 . Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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