Job Description

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your lifes best work.(sm)
Like you, UnitedHealth Group is strong on innovation. And like you, well go the distance 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. Youll 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 youll have a chance to make an impact.
Primary Responsibilities
* Verifies eligibility and benefits for each referral
* Inputs all referrals into computer and generates hard copy
* Provides referral and authorization to external providers
* Communicates authorization status to patients
* Organizes and maintains filing system of authorization/referral hard copies
* Provides information required for denial letters to clerical staff for patients whose benefits do not cover requested services
* Inputs ICD9 codes and CPT codes in computer for referral
* Prepares assigned correspondence and reports and compiles statistical data as directed
* Tracks all types of references on computer system on hard copy log and compiles statistics monthly
* Maintains good attendance
* Represents department/group and organization in a professional and positive manner
* Supports and facilitates teamwork within the department/group and the organization
* Participates in scheduled departmental/group meetings
* Assist in areas of authorization process such as triage, paper flow and research.

Youll 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
* High school graduate or G.E.D.
* 1 years of Medical Experience
* 1 years of Healthcare Operations experience
* You will be asked to perform this role in an office setting or other company location
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications

1 years of experience do you have working in a billing, collections, customer service-related environment OR working in a professional/military setting using a computer and telephone
1 years of Prior authorization experience
Proficient with MS Word, Outlook, Clinical Databases, and Internet Explorer

Careers with Optum.Heres 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 worlds 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 doyour lifes best work.(sm)

Diversity creates a healthier atmosphereUnitedHealth 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 KeywordsAssociate Clinical Administrative Coordinator, Corona, CA, California

Requisition Number:923828

Business Segment:Optum Care Delivery

Employee Status:Regular

Job Level:Individual Contributor

Travel:No

Country:US

Overtime Status:Non-exempt

Schedule:Full-time

Shift:Day Job

Telecommuter Position:No