UnitedHealth Group Sr Clinical Admin Coordinator - Las Vegas, NV in Las Vegas, Nevada

Let's face it, no industry is moving faster than health care. And no organization is better positioned to move health care forward than UnitedHealth Group. We're out to use data, technology and people in ways that help drive change and make the health care system work better for everyone. 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. Take this opportunity to work with a Fortune 6 industry leader.

Primary Responsibilities:

  • Act as a Subject Matter Expert for other team members

  • Manage the intake of members or the admission/discharge information post notification

  • Work with hospitals, clinics, facilities and the clinical team to manage requests for prior authorizations

  • Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles

  • Resolve inquiries from members and/or providers

  • Act as a Team Lead for the Call Center Representatives

Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you'll also be the "go-to" resource for information. The flexibility to work evening hours will also be required.

Required Qualifications:

  • HS Diploma or GED

  • 2+ years experience analyzing and solving customer problems with customer service

  • 1+ years of experience working in the health care industry

  • 1+ years of experience with medical terminology

Preferred Qualifications:

  • Experience working with health care insurance

  • Experience in a hospital, physician's office or medical clinic setting

  • Clerical or administrative support background or experience working in a call center environment

  • Experience working with Medicare and/or Medicaid Services

Your confidence, decisiveness and perseverance will help you positively impact our patient lives. It's an opportunity to do your life's best work.(sm)

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. 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: call center, LV, Las Vegas, NV, Nevada, healthcare, customer service, medicare, referrals, prior authorizations, Optum