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

Postal Code:

92101

Approximate Salary:

Not Specified

Position Type:

Full Time

Clinical Administrative Coordinator - San Diego, CA

UHG - San Diego, California

Posted: 10/20/2018

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

The Clinical Administrative Coordinator provides routine administrative support to Utilization Management Department. Including but not limited to answering provider lines, working collaboratively with other departments, and demonstrating exceptional customer service. The Clinical Administrative Coordinator plays a key role in building professional relationships with external stakeholders and internal customers.

**As part of this position, candidates will be required to be granted and maintain access to the County of San Diego's Electronic Health Record, CCBH. Candidate will need to verify during the phone interview if they can be granted access.

Primary Responsibilities:

  • Data entry of client information into several designated databases and County of San Diego’s Electronic Health Record (EHR) System
  • Process and track inpatient and outpatient authorization requests
  • Process high volume inpatient and outpatient authorizations within the establish TAT, and serving as back up for CAC processes depending on staff availability
  • Distribute the appropriate work products to clinical teams for clinical review
  • Update and validate demographic and diagnosis information in (EHR) as needed
  • Scan documents for retention and filing of documents
  • Purge documents
  • Facsimile and photocopy duties; other assistance to team member as needed with overall direction from UM - CAC Supervisor
  • Respond to incoming calls and provide prompt and courteous service to customers and guests. External stakeholders include inpatient hospitals; Residential Substance Use facilities; Crisis Homes; Providers; and billers
  • Sort through incoming e - faxes
  • Cross train in other CSS processes and provide back up support as needed
  • E - file all inpatient and outpatient requests
  • File data and perform other routine clerical tasks as assigned and for other departments as needed
  • Operate a variety of standard office machines, including a personal computer and a variety of computer software, DYMO label, phone, fax, calculator, shredding machine and photocopy machine
  • Interpret and respond clearly and effectively to verbal requests over the phone or in person, and to verbal or written instructions in a timely manner
  • Establish and maintain effective working relationships with co - workers, supervisors, managers, stakeholders, and the general public
  • Perform reception duties in an efficient, professional and courteous manner as needed
  • Pursue personal development of skills and knowledge necessary for the effective performance of the role
  • Serve as a central contact for crisis stabilization and inpatient bed availability as needed
  • Update processes as needed
  • Promote and exhibit the United Culture Values
  • Other duties as assigned by Supervisor / Manager

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 2+ years of customer service experience analyzing and solving customer problems
  • 2+ years of data experience in an administrative or clerical support role
  • Ability to create, edit, save, and send documents utilizing Microsoft Word, Microsoft Excel, Adobe, and other programs
  • Ability to type 50 - 60 WPM, accurately (assessment given at interview)
  • Experience handling confidential client / patient information
  • Ability to navigate a PC to open multiple applications, send emails, and conduct data entry
  • Ability to gain and maintain access to the County of San Diego's electronic health record – Cerner / CCBH
Preferred Qualifications:
  • Some college (or higher)
  • Experience working within the Healthcare Industry or Healthcare Insurance
  • Experience working in a Hospital, Physician's Office, or Medical Clinical setting
  • Professional experience in a clerical or administrative support related role
  • Working Knowledge of Medical Terminology to communicate with members and providers
  • Experience working with ICD - 10 and CPT codes
  • Experience working with Medicare and / or Medicaid Services
  • Experience working in a call center environment
Soft Skills:
  • Ability to work with multiple screens and applications at one time
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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: clinical administrative coordinator (CAC), e - filing, data entry, electronic health record, inpatient and outpatient, ICD - 10 and CPT codes , medical terminology, healthcare industry, healthcare insurance, call center, Medicare, Medicaid

Apply Now