Part Time Clinical Administrative Coordinator - Remote in San Antonio, TX
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
This position is part time (20-25 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 5-hour shift schedules between of 7:00am - 3:00pm.
We offer 2-3 weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment. Training will be conducted virtually from your home.
If you are located in San Antonio, TX, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Research and resolve targeted UM inventory accordingly to meet productivity and quality standards to include:
Claims reports with reconciliation needs
Information received through Right Fax
Information received through email
Or any other methods of receipt (phone calls, etc.)
Coordinates initial screening for UM claim reviews through claim queue
Prepares administrative files for MCR Coords, Medical Directors and MCR Nurses
Documents and follows-up on all assigned inventory, utilizing on-line systems and procedures, according to established guidelines
Maintains knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
Utilize experience and judgement to plan, accomplish goals and effectively resolve each assigned task
Performs all other related duties as assigned
Youll 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
Must be 18 years of age OR older
1 years of experience in managed care experience in Prior Authorization or Claim Review
Familiarity with Microsoft Office applications, i.e. Microsoft Excel, Microsoft Access
Ability to work part time (20-25 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 5-hour shift schedules between of 7:00am - 3:00pm
Preferred Qualifications:
Medical Terminology knowledge
ICD-9/ICD-10 and CPT knowledge
Telecommuting Requirements:
Reside within 30 miles of San Antonio TX
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 privacy
Must 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:
Ability to organize, prioritize and communicate effectively.
Ability to provide excellent customer service to a varied customer base
Ability to navigate multiple systems
Ability to work in a fast-paced environment
All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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, youll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location, and incomedeserves 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.
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
Apply Now
This position is part time (20-25 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 5-hour shift schedules between of 7:00am - 3:00pm.
We offer 2-3 weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment. Training will be conducted virtually from your home.
If you are located in San Antonio, TX, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Research and resolve targeted UM inventory accordingly to meet productivity and quality standards to include:
Claims reports with reconciliation needs
Information received through Right Fax
Information received through email
Or any other methods of receipt (phone calls, etc.)
Coordinates initial screening for UM claim reviews through claim queue
Prepares administrative files for MCR Coords, Medical Directors and MCR Nurses
Documents and follows-up on all assigned inventory, utilizing on-line systems and procedures, according to established guidelines
Maintains knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
Utilize experience and judgement to plan, accomplish goals and effectively resolve each assigned task
Performs all other related duties as assigned
Youll 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
Must be 18 years of age OR older
1 years of experience in managed care experience in Prior Authorization or Claim Review
Familiarity with Microsoft Office applications, i.e. Microsoft Excel, Microsoft Access
Ability to work part time (20-25 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 5-hour shift schedules between of 7:00am - 3:00pm
Preferred Qualifications:
Medical Terminology knowledge
ICD-9/ICD-10 and CPT knowledge
Telecommuting Requirements:
Reside within 30 miles of San Antonio TX
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 privacy
Must 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:
Ability to organize, prioritize and communicate effectively.
Ability to provide excellent customer service to a varied customer base
Ability to navigate multiple systems
Ability to work in a fast-paced environment
All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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, youll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location, and incomedeserves 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.
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
Apply Now