We're Monarch HealthCare, Orange County's largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can-do culture of a Fortune 4 company behind us, there's no telling how far we can go. Join us in creating a better future and you'll soon find you're doing your life's best work.(sm) We are searching for a Per Diem - Clinic Admin. to join our team in Irvine, CA Monday - Friday 8:00am - 5:00pm / 2-5 days per work, with a maximum of 920 hours per year The Clinic Administrator will make post-discharge calls to members from Hospital/Skilled Nursing Facilities. Help manage phone coverage for customer service to Monarch providers along with requesting clinical notes. Assist in making necessary follow up appointments for PCP, Specialist, Social Work, Supportive Care. Arrange Home health Services. Primary Responsibilities:Follow up calls to members from Hospital / SNF Help manage phone coverage for customer service to Monarch providers along with requesting clinical notes Ability to float and work in pre-service and denial queues Assist enrollee in scheduling with PCP, Specialist, HRTT, Supportive Care, SW and Palliative Programs Will cover unpredictable work flow/authorization receipt and unexpected leaves
Required Qualifications:High School Diploma or GED 1+ years of work experience in a clinical setting with knowledge of medical terminology Proficient in use of Microsoft Office applications: working knowledge of Outlook, Word and Excel Understanding of pre-service authorization and benefit reviewPreferred Qualifications:HMO, Medi-Cal, Medicare and / or managed care Bilingual What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting 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. Job Keywords: Clinic Coordinator, Clinic Admin., SNF, inpatient, case management, scheduling, follow up calls, float, managed care, bilingual, Irvine, Santa Ana, Costa Mesa, Fountain Valley, CA
Internal Number: 746617
About UnitedHealth Group
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.