Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high - quality care. 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 for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.
What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
Under supervision, performs administrative duties in support of the utilization review department and continuity of care in accordance with company policies, state and federal laws applicable to the operating unit. Prepares and disseminates reports, answers correspondence, verifies insurance eligibility and maintains appropriate records. Primary Responsibilities:
Process admission notifications; enter cases into Facets and ACM, fax logs to clinical team and file documents.
Data entry of census updates and discharged cases; includes entry of correct dates, room type codes, discharge disposition and status; filing of documents. Performs responsibilities per the Master Schedule, including but not limited to running the Meditech census, discharges exception report, Access Center Call Log, and Transportation Log.
Run admissions and discharge reports from Meditech / HCA system.
Process newborn enrollment forms upon notification.
Verify insurance eligibility; build case under correct member; flag cases for COB potential.
Works with clinical teams to problem solve routine issues related to inpatient and skilled nursing facility cases.
Maintains accuracy rating of 98% or better on all cases.
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.