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Job Details


UnitedHealth Group

Senior Clinical Administration Coordinator - Pine Brook, NJ

Healthcare

Clinical Coordinator

No

Pine Brook, New Jersey, United States

If you are located in Pine Brook, NJ, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.SM

The Intake Supervisor is responsible for overseeing the Front End Intake team for the Plymouth Meeting, PA and the Pine Brook, NJ Home Infusion branches. Will supervise at least 4 Intake Coordinators, process Acute/Biologic referrals, obtain authorization for Medicaid referrals, monitor the held bill report, and will participate in the on-call and ongoing supervision/support front end Intake. This position is critical for branch operation support for incoming referrals.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at Pine Brook, NJ. Employees will be required to work some days onsite and some days from home.

This position will be required to work in the Plymouth Meeting, PA Home Infusion branch on a rotational basis. Must live within a commutable distance to this location.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

  • Supervise and motivate a work team while maintaining high standards
  • Respond to all authorization documents received and provide feedback to address processing issues
  • Respond to provider inquiries that have been received by the escalation and case resolution department
  • Research and verify information provided on authorization documents

The big challenge is motivating people and leading by example with a positive attitude that's professional, courteous and cheerful.
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)
  • 3+ years of customer service experience
  • 2+ years of supervisory experience
  • 2+ years of previous Benefits Verification experience
  • Proficient with Microsoft Office products Microsoft Word (create, copy, edit, send and save documents), Microsoft Excel (create, copy, edit, send and save spreadsheets), and Microsoft Outlook (create, copy, edit, send and save emails)
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Associate's Degree (or higher)
  • Experience supervising remote employees
  • Managed care experience in a care coordination role
  • Experience with Prior Authorization submissions

Telecommuting Requirements:

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

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

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.

#RPO, #RED

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