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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



Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Senior Clinical Administrative Coordinator - Kingston, NY

UHG - Kingston, New York

Posted: 10/25/2018

Let's talk about meaningful work. UnitedHealth Group is always looking for new ways to improve our ability to deliver high-quality care. As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers. You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases. It's truly an opportunity to make an impact on a huge scale.

Positions in this function includes those responsible for initial triage of members, administrative intake of members, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers / members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.

Primary Responsibilities:

  • Applies knowledge / skills to a range of moderately complex activities.

  • Demonstrates great depth of knowledge / skills in own function.

  • Sometimes acts as a technical resource to others in own function.

  • Proactively identifies solutions to non - standard requests.

  • Solves moderately complex problems on own.

  • Works with team to solve complex problems.

  • Plans, prioritizes, organizes and completes work to meet established objectives.

  • May coordinate work of other team members

Required Qualifications

High School Diploma / GED or higher
1+ years experience analyzing and solving customer problem 1+ years of healthcare or healthcare insurance  experience
Clerical or administrative support background
Experience using a computer and Microsoft Office (Word ( work within templates), Excel (filter, data entry) and Outlook (calendar Management, emails)

Preferred Qualifications:
  • Experience in a Hospital, Physician's Office or medical clinic setting
  • Medical terminology
  • Experience with ICD10 or CPT codes

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.SM

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: Senior, CAC, UHG, Kingston, NY, Medical, Insurance, Benefits, Medical Insurance, referrals

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