Energize your career with one of Healthcares 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, its a dream that definitely can come true. Already one of the worlds 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 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 & 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. Primary Responsibilities:
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 mailroom 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.
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.