UHG

About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Medical and Clinical Operations

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Clinical Administrative Coordinator - Honolulu, HI

UHG - Honolulu, Hawaii

Posted: 12/12/2018

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. 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.

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance 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 a chance to make an impact.

Primary Responsibilities:
  • Respond to incoming provider and enrollee calls
  • Provide excellent Customer Service to both providers and enrollees
  • Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance
  • Receive Care Coordination notification cases for non - clinical assessment / intervention and provide appropriate triage
  • Process out of network requests for consideration of in network level of benefits for physician specialty referrals for appropriate products
  • Process notification requirements for outpatient procedures, home health, DME, transition of care, and network gap issues
  • Process letters within DOL time frames
  • Verify appropriate ICD - 10 and CPT coding usage
  • Communicate to providers and members benefit determinations within DOL time frames
  • Assist with faxes and emails
  • Moderate work experience within own function
  • Some work is completed without established procedures
  • Supervision / guidance is required for higher - level tasks
  • Full - time schedule: Monday - Saturday availability required
  • Other duties as assigned by manager and / or director

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 1+ years of professional experience in an office / customer service environment
  • Previous experience working with Microsoft Outlook, Microsoft Word, and Microsoft Excel (ability to create, edit and save)
  • Previous experience working with a computer including, but not limited to, ability to learn new computer system applications
  • Ability to work a full - time schedule within department hours of Tuesday - Saturday 8:30 am - 5:30 pm
Preferred Qualifications:
  • Bachelor's Degree (or higher)
  • Professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties or customer service experience analyzing and solving customer's problems
  • Experience working within the Healthcare Industry, Hospital, Physician's Office, or Medical Clinical setting, Medical Terminology, ICD - 10 and CPT codes, Medicare and / or Medicaid Services, call center environment
  • Professional experience in a clerical or administrative support related role
Soft Skills:
  • Must be a self - starter and able to work autonomously
  • Strong aptitude for working in a production driven environment
  • Ability to work in a fast - paced, dynamic, rapidly changing environment
  • Excellent oral and written communication skills
  • Ability to multi - task
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near - obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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: UHG, Honolulu, HI, customer service, healthcare, ICD - 10, CPT codes, Medicare and / or Medicaid Services, call center environment

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