Note: The job is a remote job and is open to candidates in USA. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Clinical Administrative Coordinator will manage administrative tasks related to member intake and service requests, while also assisting with care coordination and member inquiries.
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
- Assist with care coordination such as, but not limited to, assisting with appointments and securing ancillary services
Skills
- High School Diploma / GED or equivalent work experience
- Must be 18 years of age or older
- 2+ years of customer service experience
- 2+ years of experience working within the health care Industry and with health care insurance
- Experience with MS Word, Excel and Outlook
- Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm Pacific. It may be necessary, given the business need, to work occasional overtime
- Healthcare call center setting
- Experience working in a hospital, physician's office or medical clinic setting
- Clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
- Experience working in a call center
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
Company Overview