Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including you. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.Our Customer Service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care. You will be assigned to do waiver service plans that will contain data collected from Care Managers. You will be asked, at times, to take phone calls from Members. These calls will be inquiries about benefits coverage. You will also be asked, at times, to enter expense reports into the system.Positions in this function include a more traditional Clinical Administrative Coordinator role by: answering the telephone, typing / word processing of documents, maintaining calendars and setting up meetings, making travel arrangements, copying, faxing, greeting visitors, setting up files, tracking expenses, coordinating building and equipment maintenance. You will learn to assist with the On - boarding of new staff. As well as supporting the Managers and the Clinical Care Managers in the field. This includes ordering supplies, data entry and troubleshooting computer issues. At senior levels, function may include supervision of other clerical / administrative staff. Duties will include administrative intake of members or managing the admission / discharge information post - notification, working with hospitals and the clinical team. Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. Provide excellent Customer Service to both Providers and Enrollees.Primary Responsibilities:Extract and review fax requests for medical or clinical servicesAccess electronic member files using policy or id numberDetermine member eligibilityFollow protocols to task requests appropriatelyCheck procedure codes against notification requirements and benefit coverage to determine next stepsReference automated job aid tools via the computer to identify appropriate procedures when neededConstantly meet established productivity, schedule adherence, and quality standards while maintaining good attendanceMaintain Confidentiality and adhere to HIPAA requirementsAbility to sustain concentration to enter waivers for extended periods of time
Required Qualifications:High School Diploma / GED2+ years of Customer Service experience1+ years of experience in an office setting using the telephone and computer as the primary instruments to perform the job dutiesKnowledge of Medical TerminologyKnowledge of Medicare and MedicaidAbility to create, edit, save, and send documents using Microsoft Word, Microsoft PowerPoint, and Microsoft Outlook25+ WPM typing / data entry skillsPreferred Qualifications:Reconciling invoicesAdvanced experience in Microsoft ExcelSoft Skills:Ability to comprehend basic and intermediate details and tasksExcellent communication skills written and verbal 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 healthcare here. We serve the healthcare 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 Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do 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: UnitedHealth Group, Healthcare, customer service, medical terminology, Medicare, Medicaid, Word, PowerPoint, Access, Outlook, Excel, Reconciling invoices, Clinical Administrative Coordinator
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.