Clinical Administrative Coordinator - Eden Prairie, MN
December 25, 2017
Eden Prairie, Minnesota
Position Description:Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.Optum provides information and technology - enabled health services. The organization helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their Healthcare needs and stay on track with their Health Goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.Our Clinical Administrative Coordinator teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.In this position you will receive and review routine pre - service authorization requests from providers submitted via a provider portal, fax, or paper submissions for chiropractic, physical therapy, occupational therapy, and/or speech therapy services. You will process these requests referencing job aides and standard policies and procedures to research relevant rules, regulations, or client - specific requirements. You will be responsible for determining whether authorizations and / or referrals are required for requested services and ensuring required documentation has been provided. You may need to access and review electronic history and notes on previous member and / or provider requests. You will be required to document applicable actions taken on a submission to ensure the request history is captured for future reference. You may be required to generate provider responses and ensure they are delivered to the mail room for further handling. Throughout the day you will be navigating between multiple computer screens to perform these job duties. You must know how to prioritize and meet deadlines. You must be able to work with others as part of a team. You may also be responsible for transferring patient and provider demographic information and UM determinations from one application to another to ensure proper reimbursement.
Required Qualifications:Associate's Degree (or higher) OR High School Diploma / GED and 2+ years of healthcare insurance experienceComfortable working Monday through Friday, an 8-hour shifts ranging from 6am-6pm 1+ years of experience in an office environment using a computer as the primary instrument to perform job duties6+ months of experience working in a professional team environmentExperience working with Microsoft Word, Excel, Outlook, and utilizing the InternetPreferred Qualifications:Healthcare or healthcare insurance experienceKnowledge of medical terminologyAbility to proof read documentationsData entry experienceCareers 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.SMDiversity 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, Optum, Eden Prairie, Clinical, Healthcare, Insurance
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.