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UnitedHealth Group

Clinical Administrative Coordinator - Remote in Las Vegas, NV

Healthcare

Clinical Coordinator

No

Las Vegas, Nevada, United States

If you are located within a commutable distance of 60 miles from Las Vegas, NV, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

This is a high volume, customer service / call center environment. When speaking over the phone you will need to be efficient, productive and thorough while interacting with Hospitals, Doctor's Office's and Internal Departments (Case Management).

Positions in this function includes managing incoming calls, managing requests for services from Hospitals, Doctor's Office's and Internal Departments providing information on available network services and transferring calls as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.

This position is full - time. Employees are required to work our flexible business hours of 4:00am - 6:00pm Pacific Standard Time from Monday - Friday and 5:00am - 5:00pm Pacific Standard Time on Saturdays and Sundays. It may be necessary, given the business need, to work occasional overtime, evening hours, weekends, and some holidays. Our office is located at 2716 N. TENAYA, 3RD FLOOR, LAS VEGAS, NV, 89128.

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

Primary Responsibilities:

  • Work over the phone with hospitals, clinics, facilities and the clinical team to manage requests for services from providers
  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
  • Handle resolution / inquiries from members and / or providers
  • Moderate work experience within own function
  • Some work is completed without established procedures
  • Basic tasks are completed without review by others
  • Supervision / guidance is required for higher level tasks

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)
  • 2+ years of experience with working in a hospital, physician's office, OR medical clinic setting
  • Experience using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates in documents), Microsoft Excel (data entry, sort, filter, and work within tables in spreadsheets), and Microsoft Outlook (email and calendar management)
  • Ability to work any 8-hour shift between the hours of 4:00am - 6:00pm Pacific Standard Time from Monday - Friday and 5:00am - 5:00pm Pacific Standard Time on Saturdays and Sundays including the flexibility to work occasional overtime, weekends, and some holidays based on business need
  • Ability to train onsite, Monday – Friday, from 8:00am – 5:00pm Pacific Standard Time for approximately 3 months.
  • 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:

  • Experience with working within the health care Industry and with health care insurance
  • A clerical OR administrative support background
  • Knowledge of ICD - 10 and CPT code

Telecommuting Requirements:

  • Reside within a commutable distance of 60 miles from Las Vegas, NV
  • 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 at UnitedHealth Group. We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy Talented. Compassionate. Driven. To these select few, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you're empowered to be your best. We encourage you to take risks. And we offer a world of rewards and benefits for performance. We believe the most important is the opportunity to do your life’s best work.SM

Nevada Residents Only: The salary range for Nevada residents is $16.83 - $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives

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, #YELLOW

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