Description

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 is responsible to the Center Administrator and assists with medical management data entry and referral functions.

Schedule: Monday to Friday, 8 AM - 5 PM

Location: Onsite - 2730 N McMullen Booth Rd Ste 201 Clearwater, FL 33761

Primary Responsibilities:

• Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
• Represents the Company in a professional manner, following all Company policies and procedures
• Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Responsible for total coordination and processing of all patient referrals for specialty services
• Follows protocols for proper authorization and processing of all referrals
• Communicates with the patient on a timely basis for all scheduling requirements
• Coordinates pre-admission testing requirements with clinic personnel and patient
• Completes all administrative functions associated with referral activities in a timely manner
• Enters all referral, hospital, outpatient, DME and other patient specialty health service authorizations into the computer system according to Company policy and procedure
• Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly
• Responsible for monitoring all referral reports not received and timely follow-up in accordance with Company policy and procedure
• Performs other duties as assigned
• Must have consistent, punctual and reliable attendance
• Ability to travel may be required

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 higher)
• 1+ years of experience in healthcare

Preferred Qualifications:

• Experience working with prior authorization and referrals
• Ability to interact and verbally communicate effectively with patients and all levels of personnel in a professional, courteous and effective manner with excellent customer service skills
• Possess excellent communication and organizational skills with the ability to multitask, set priorities, and meet deadlines
• Results and goal-oriented with a philosophy for quality improvement
• Must be computer literate and have exceptional telephone skills
• Possess high job accuracy, efficiency, and dependability
• Knowledge of HIPAA regulations
• Ability to read, speak, write, and understand the English language fluently
• Ability to multi-task in a high paced environment with good organizational skills
• Ability to follow written and oral instructions and to work with general guidance
• Previous experience with EMR systems is a plus
• Knowledge of medical coding a plus

Soft Skills:

• Pleasant demeanor
• Enjoys interacting with elderly population
• Ability to interact and verbally communicate effectively with patients and all levels of personnel in a professional, courteous and effective manner with excellent customer service skills

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 $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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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