Clinical Administrative Coordinator

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00 AM - 7:00 PM CST. It may be necessary, given the business need, to work required overtime in the first 6 weeks of the year with occasional Saturdays.

This will be paid on-the-job training and the hours during training will be 8:00 AM - 5:00 PM CST from Monday - Friday.

Primary Responsibilities:

• Managing outside assistance funding for patients
• Work with co-pay assistance programs, foundations and internal financial assistance programs to find funding for patients
• Process incoming applications for assistance funding
• Assist the clinical staff with setting up documents.
• Handle inbound calls as needed
• Handle resolution / inquiries from members and / or providers
• Ensure timely follow - up with patients as needed
• Flexibility of assignment by leadership for projects

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:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of call center customer service experience in a healthcare setting
• Experience with Copay Assistance Programs OR Foundation Assistance Programs
• Experience with Microsoft Word, Microsoft Excel (create, edit, save documents and spreadsheets), and Microsoft Outlook (email and calendar management)
• Ability to work required overtime in the first 6 weeks of the year with occasional Saturdays based on business need
• Ability to work an 8-hour shift schedule from 10:00 AM - 7:00 PM CST from Monday - Friday

Preferred Qualifications:

• Experience with working within the health care Industry and with health care insurance
• Experience with working in a hospital, physician's office, OR medical clinic setting
• Clerical OR administrative support background
• Knowledge of ICD - 9 and CPT codes
• Optum Specialty / Infusion experience
• Experience with determining patient responsibility, payment plans, setting financial expectations
• Experience with benefit verification, prior authorization, and PBM claim adjudication
• Experience in working with CMS / Medicare services, preparing Advanced Beneficiary Notices (ABN)
• Experience with TAILORMED

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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