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Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability 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. You'll 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 you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.
What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
The Clinical Administrative Coordinator is dedicated to providing multifaceted outreach services. The Clinical Administrative Coordinator is responsible for supporting and facilitating a strategic plan to engage members in educational activities designed to improve health, quality outcomes and member compliance with selected HEDIS and Quality measures.
Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission / discharge information post - notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers / members, providing information on available network services and transferring members as appropriate to clinical staff.
Appointment setting includes, but not limited to the following services:
EPSDT and Immunizations appointments
Well Child Visits
Comprehensive Diabetic Services
Prenatal and Postpartum
Well Woman Services
Adults and children with physical or development disabilities
Other HEDIS / HEDIS like measures and projects as assigned
The Clinical Administrative Coordinator tracks and manages member appointments using the following multifaceted, multi - functional methodologies:
Telephonic outreach including direct member and provider call 3 - way appointments
Participation on UHC's Member Consumer Advisory Board
Collaboration with Local Health Departments, FQHC, School Based Health Centers and State Agencies
Community events and health fairs
Bulk appointment with provider collaboration
Develops effective relationships with provider office, other contracted services, management, peers and co - workers
The Clinical Administrative Coordinator is deployed at contracted Practices to perform the following but not limited to:
Conduct Onsite Appointment Scheduling
Provide face - to - face interaction with practice
Address any issues or concerns pertaining to the Member
Manage administrative intake of members or the admission / discharge information post notification
Copy charts for services already rendered
Provide education to practices on the various member incentives offered for targeted services
Additional responsibilities include:
Provide expertise claims support by reviewing, researching and investigating all types of preventive and clinical claims to ensure members received appropriate critical measures
Obtain information from providers on critical measure requests for year-round initiative and medical record review
Develop and maintain business relationships with provider offices
Provider added values to Practices through onsite appointment scheduling
Educate member and practices on the member incentives offered for targeted services
Work as a liaison between the health department, school based health center or providers office to ensure member receive appropriate care
Maintain records, reports and statistics
Completion of special projects (as assigned)
Document all outcomes
Other 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.
High School Diploma / GED (or higher)
1 years of experience with Microsoft Office (Word, Excel, and Outlook) with the ability to open documents, apply filters, sort data within excel, save docoments
2 years of experience working in the health care industry
2 years experience analyzing and solving customer problems
1 years of experience working with medical terminology
Experience in a hospital, physician's office or medical clinic setting
Experience working with health care insurance
2 years of clerical or administrative support background or experience working in a call center environment
Experience working with Medicare and / or Medicaid Services
Ability to work 8:30 - 5:00pm, Monday - Friday
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high - risk pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.
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.
Keywords: UHG, Columbia, MD, customer service, healthcare, telephonic, patient interaction, field based, advocacy
Unitedhealth Group Inc.