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:

United States

Postal Code:

30901

Approximate Salary:

Not Specified

Position Type:

Full Time

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Clinical Administrative Coordinator - Telecommute in GA

UHG - Augusta, Georgia

Posted: 09/1/2018

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.


There may be easier administrative jobs out there, but few offer the satisfaction of truly helping people manage their personal health and well-being. UnitedHealthcare, part of the UnitedHealth Group family of businesses, 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. Our customer service teams have a serious responsibility to make every contact informative, productive, positive and memorable. If you're the kind of person who wants to bring your contribution to a new level every day, find out more.

Primary Responsibilities:

  • Respond to Incoming Provider and Enrollee calls
  • Resolve Customer Service inquiries 
  • Provide high quality Customer Service to both Providers and Enrollees
  • Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance
  • Receives prior authorizations requests non-clinical assessment / intervention and provides appropriate triage
  • Processes out of network requests for consideration of in network level of benefits
  • Processes notification requirements for outpatient procedures, home health, DME, transition of care, and network gap issues
  • Determines benefit coverage issues
  • Sets up / documents / triages cases for clinical or medical director review
  • Verifies appropriate ICD-10 and CPT coding usage
  • Communicates to providers and members benefit determinations within time frames
  • Some work is completed without established procedures
  • Basic tasks are completed without review by others
  • Supervision/guidance is required for higher-level tasks
  • 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
  • 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
  • Professional experience in a Clerical or Administrative support related role
  • Previous experience working with Microsoft Office including Outlook (ability to create, edit, save, and send documents), Word (ability to create, edit, save, and send documents), and Excel (ability to create, edit, save, and send documents)
  • Flexibility to work outside standard hours of operations due to changing business needs
  • Must have a quiet designated work space established that is separated from other living areas and provides information privacy
  • Must have access to install secure high speed internet (minimum speed 1.5 download mps and 1 upload mps) via cable / DSL in home (NOTE: wireless/cell phone provider, satellite, microwave, etc...does NOT meet this requirement)
  • Must live in a location within 60 miles of a UnitedHealth Group office
  • Must live in the State of Georgia
Preferred Qualifications:
  • Bachelor's Degree (or higher)
  • 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
Soft Skills:
  • Strong communication skills; Written and verbal
  • Excellent critical thinking and problem-solving skills
  • Candidate need to be highly organized with effective and exceptional communication skills
  • Strong analytical, problem solving and decision - making skills; ability to exercise good judgment
  • Ability to prioritize work, handle multiple tasks and work independently
  • Computer experience including, but not limited to, ability to learn new computer system applications
  • Ability to focus and learn in a remote setting as an independent worker
  • Ability to trouble shoot and setup computer equipment independently
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 where ever 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, Clinical, Healthcare, Administrator, UnitedHealthcare, Administrative, Georgia

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