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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:

53208

Approximate Salary:

Not Specified

Position Type:

Full Time

Senior Clinical Administrative Coordinator - Wauwatosa, WI

UHG - Wauwatosa, Wisconsin

Posted: 08/9/2018

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.

Position in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, 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.

Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the go-to resource for information.

Primary Responsibilities:

  • Primary point of contact for providers or members regarding medical/behavioral/clinical services or benefits.
  • Extract Extract and review fax requests for medical or clinical Services.
  • Receive calls requesting medical/behavioral/clinical services.       
  • Receive electronic referral form requests for medical/behavioral/clinical services.               
  • Utilize phone system to respond to and transfer calls to appropriate individuals.   
  • Ask callers standard questions to understand requests, gather necessary information, and assess urgency.

Requirements:
  • High School Diploma/GED or equivalent experience
  • 1+ years experience working in an office setting using telephone and computer as the primary function to preform job duties
  • Experience using a computer and Microsoft Office Word (create, edit, save) Excel (create, edit, save) Outlook (send, receive, set appointments)
  • Ability to maintain confidentiality and adhere to HIPAA requirements
  • Ability to work 8AM - 5PM M-F and have the flexibility to work evening hours

Preferred Qualifications:

  • Experience working with health care insurance 
  • Experience in a hospital, physician's office or medical clinic setting
  • Clerical or administrative support background or experience working in a call center environment
  • Experience working with long-term care and Medicare and/or Medicaid Services

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: Administrative, UnitedHealth, Optum, Insurance, Call Center, Medicare, Medicaid, Wauwatosa

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