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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Administrative Coordinator (CAC) will be responsible for managing various administrative and coordination tasks to support efficient inpatient admissions, post - acute case management, and ensure compliance with healthcare standards. This role requires a professional with strong communication skills, the ability to manage multiple priorities, and a commitment to delivering high - quality support in a fast-paced healthcare environment.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST. It may be necessary, given the business need, to work occasional overtime.

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

 

Primary Responsibilities:

Oversee the management of building inpatient admissions and post - acute cases, ensuring that the admissions process is efficient and that turnaround times are metHandle incoming clinical records by reviewing, organizing, and attaching them to the associated inpatient case in a timely mannerRespond to incoming calls, providing exceptional customer service, and directing inquiries to the appropriate department or individual as neededManage appeals oversight for the Quality Improvement Organization (QIO) and health plan, ensuring all procedures are followed according to regulatory and company standardsInitiate peer - to - peer reviews with healthcare providers to discuss patient cases and ensure appropriate care is providedPrepare and send out initial Notice of Medicare Non - Coverage (NOMNC) packets and process incoming packets, maintaining compliance and proper documentationMaintain oversight of regional emails and faxes, ensuring timely and accurate responses to all communicationsManage Prior Authorization intake for Skilled Nursing Facilities (SNF), Long - Term Acute Care Hospitals (LTACH), Acute Inpatient Rehab (AIR), and other services as neededPerform any additional duties assigned by UM support leadership, which could include administrative tasks, reporting, or participating in special projectsOther duties as assigned

 

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 years of experienceMust be 18 years of age OR older1+ years of experience in a customer service role6+ months of experience in a healthcare environmentExperience with computers and Windows based programsExperience with Microsoft Office products (Microsoft Word, Microsoft Excel, Microsoft Outlook, and Microsoft Teams)Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM - 5:00 PM PST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.

 

Preferred Qualifications:

Knowledge of medical terminologyHealth Insurance experience

 

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 privacyMust live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

 

Soft Skills:

Excellent verbal communication and organizational skillsSelf - motivatedAttention to detailAbility to multi - task and work under pressure

 

*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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