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



Approximate Salary:

Not Specified

Position Type:

Full Time

Senior Clinical Administrative Coordinator - Maryland Heights, MO

UHG - Maryland Heights, Missouri

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.
Let's face it, no industry is moving faster than health care. And no organization is better positioned to move health care forward than UnitedHealth Group. We're out to use data, technology and people in ways that help drive change and make the health care system work better for everyone. 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. Take this opportunity to work with a Fortune 6 industry leader.
The Senior Clinical Admin Coordinator has the responsibility for handling a wide range of non - clinical tasks intended to support all regional cross functional teams. Senior Clinical Admin Coordinator partners with the Clinical Admin Supervisor, Clinical Managers, and Clinical staff in all Regional sites - Compliance, Behavioral Network Services, External Providers / Facilities to assist with day – to – day operational tasks.
Primary Responsibilities:
  • Assists with overseeing a team of 12 - 15 clinical administrative coordinators
  • Monitors BH Claims Research Support mailbox and assures that cases are being handled in a timely manner.
  • Serves as a resource to clinical operations teams as well as Clinical Admin Coordinator.
  • Provides back - up assistance for Clinical Admin Coordinator and serves as a liaison between staff and business partners.
  • Processes failed authorizations and identifies barriers that prevent closure.
  • Proficient with a broad range of both commercial and public sector books of business:  benefit and eligibility checks, accommodations, case assignments, claims and other administrative tasks
  • Responsible for coaching, training, mentoring Clinical Admin Coordinator and keeping all job aids current
  • Collaborates with both the supervisor & Clinical Admin Coordinator to implement strategies to shift priorities to ensure all administrative tasks (Claim Inquiries, Failed Faxes, Authorizations, Adverse Benefit Determinations etc.) are handled within the stated timelines.
  • Assists supervisor with daily business operations including meetings, work load balancing, and team communications. 
  • Proficient in the clinical and claims platforms (Linx, ICUE, Pulse, COSMOS, UNET, OHBS Facets) needed to perform administrative tasks as well as problem solving requests
  • Conducts weekly team audits.
  • Serves as a secondary contact for internal escalated issues.
  • Assists with monitoring performance of all staff and initiates strategies to deal with performance opportunities.

  • High School Diploma / GED or higher
  • 3+ years business office and / or clinical customer service experience
  • 2+ years leadership experience
  • 1+ years training experience
  • Proficient in the clinical and claims platforms (Linx, ICUE, Pulse, COSMOS, UNET, OHBS Facets)
  • Some clinical knowledge, some familiarity with major psychiatric terminology
  • Ability to type at least 40 WPM
Preferred Qualifications:
  • Some college / secondary education
  • Demonstrated skill in using Microsoft office system products (ability to create, edit, copy, send and save documents, correspondence, and spreadsheets in MS Word, Outlook and Excel)
Soft Skills:
  • Demonstrated ability to communicate verbally and in writing
  • Demonstrated organizational and problem - solving skills
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.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: Optum, Healthcare, Clinical, Coordinator, Administrative, Billing, Claims, Customer Service

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