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Clinical Administrative Coordinator - Sanford, FL

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Optum

2mo ago

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Sanford

AI generated summary

  • You must have a high school diploma, 2+ years of customer service, healthcare experience, proficiency in Microsoft Office, and be able to work flexible 8-hour shifts.
  • You will manage member intake, process referrals and authorizations, assist clinical staff with documentation, and handle inquiries from members and providers.

Requirements

  • High School Diploma / GED
  • Must be 18 years of age OR older
  • 2+ years of customer service experience
  • Experience with Microsoft Word, Microsoft Excel (create, edit, save documents and spreadsheets) and Outlook (email and calendar management)
  • Experience working within the health care Industry and with health care insurance
  • Experience working in a hospital, physician's office or medical clinic setting
  • Ability to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.

Responsibilities

  • Manage administrative intake of members
  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles, and HEDIS measures
  • Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handle resolution/inquiries from members and/or providers

FAQs

What are the working hours for the Clinical Administrative Coordinator position?

The position is full-time (40 hours/week) from Monday to Friday, during normal business hours of 8:00 AM to 5:00 PM.

Where is the office located?

The office is located at 1621 W 1ST ST, Sanford, FL 32771.

Is training provided for this position?

Yes, we offer 4 weeks of on-the-job training aligned with your schedule.

What are the primary responsibilities of this role?

The primary responsibilities include managing administrative intake of members, coordinating with hospitals and clinics, processing referrals and prior authorizations, assisting clinical staff with document setup, and handling inquiries from members and providers.

What are the required qualifications for the position?

Required qualifications include a High School Diploma/GED, being 18 years of age or older, 2+ years of customer service experience, proficiency in Microsoft Word, Excel, and Outlook, healthcare industry experience, and experience in a hospital or medical clinic setting.

Are there any preferred qualifications for the position?

Yes, preferred qualifications include a clerical or administrative support background, knowledge of ICD-10 and CPT codes, and experience working in a call center.

Is there an opportunity for career development within the organization?

Yes, there are comprehensive benefits and career development opportunities available to employees.

Will I need to work overtime occasionally?

Yes, it may be necessary to work occasional overtime depending on business needs.

What is the company’s stance on diversity and inclusion?

UnitedHealth Group is committed to diversity and inclusion, believing that everyone deserves the opportunity to live their healthiest life, regardless of race, gender, sexuality, or background.

Is there a drug test requirement for employment?

Yes, candidates are required to pass a drug test before beginning employment.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.