Job 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 10 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.

The Clinical Administrative Coordinator is an unlicensed individual who assumes day-to-day responsibility for coordinating patient referrals with referral sources, Clinical Liaisons and Sales staff.

Primary Responsibilities:

* Gathers patient information accurately and completely by utilizing appropriate templates in CPR+ and Carelink 2.0
* Verifies insurance eligibility prior to processing order
* Assembles patient's electronic medical record accurately and completely and manages documents appropriately in CPR+
* Process orders in a timely manner
* Obtains necessary information according to Accreditation Commission for Health Care (ACHC) guidelines
* Obtains authorization for services
* Informs Clinical and Sales Teams of referrals and updates them on the status of the case via workflow process management and blogs in Carelink 2.0
* Prepares pending files by utilizing appropriate templates in CPR+
* Communicates/Coordinates referrals with outside pharmacies and referral sources
* Understands diversity of contracts to handle referrals accordingly
* Coordinates the start of care with the patient/caregiver, referral source, and other providers of care
* Coordinates time and initial delivery
* Cancels pending/no-go referrals when appropriate
* Directs patient contact involving; schedule and verify infusion appointments/drug shipments (if applicable), respond to nursing and/or customer service issues, patient financial hardships. Maintain current and accurate documentation in CPR+/AskAxelaCare
* Documents patient related activities/information in the patient's electronic medical record
* Consults with direct Manager on difficult or unusual referrals, as appropriate
* Maintains confidentiality of patient and company information
* Complies with all company policies and procedures
* Gathers and ensures all necessary documentation for chart is obtained
* Communicates effectively with Clinical Team members to assure a smooth transition from intake to start of care
* Check electronic discharge websites (Allscripts and Ensocare) for new referrals and updated information, as required (and where applicable)
* Send the initial referral email to sales/onsite to confirm receipt of the referral
* Formulate and negotiate private pay pricing as per limitations set by company
* Scans and appropriately label patient documents in CPR+
* Performs other duties as required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

* Highschool Diploma / GED (or higher)
* 1+ years of basic knowledge and experience in home care
* Ability to type at least 40 wpm accurately
* Experience with Microsoft Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
* Experience with insurance verification process, healthcare benefits assessment and paperwork and documentation for billing Medicare/Medicaid and commercial insurance
* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Soft Skills:

* Ability to handle heavy phone contact and maintain positive customer service approach.
* Possess good organizational and time-management skills
* Ability to multitask
* Effective communication skills with patients, family members, other staff members and outside organizations or persons
* Possess the initiative to plan for and complete daily activities with minimal directions.
* Dependable in attendance and job performance
* Ability to meet attendance, overtime, on-call, and other reliability requirements of the job

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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.

Colorado Residents Only: The hourly range for Colorado residents is $15.00 to $25.19. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.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.

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.

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