Clinical Administrative Coordinator
Optum · Dallas, TX
- On site
- Full-time
- $74,776 / year
- Dallas, TX
Job highlights
- Coordinate clinical services and member benefits nationally.
- Handle provider and member inquiries via phone/electronic.
- Process referrals and manage patient data entry.
- Requires healthcare industry and customer service experience.
- Full-time remote role with specific shift flexibility.
About the role
Clinical Administrative Coordinator at Optum
Optum is seeking a dedicated Clinical Administrative Coordinator to join their team. This National Remote position offers the flexibility to telecommute from anywhere within the U.S. You will play a crucial role in connecting people with the care, pharmacy benefits, data, and resources they need to live healthier lives, directly improving health outcomes.
About the Role
This is a full-time, 40 hours/week position, typically Monday through Friday. Employees need flexibility to work any 8-hour shift between 10:00 am and 8:00 pm CST. Overtime may be required during the first 6 weeks of the year, with occasional Saturdays. Paid on-the-job training will be provided from 8:00 am to 5:00 pm CST, Monday - Friday.
Primary Responsibilities
- Serve as the primary point of contact for providers and members regarding medical, pharmacy, or clinical services and benefits.
- Review and process fax and electronic referral requests for medical or clinical services.
- Enter medical request data accurately into the relevant computer system.
- Respond to and transfer inbound calls using the phone system to appropriate individuals.
- Access electronic member files in external portals using correct patient identification.
- Review benefits and authorization requirements, create pharmacy test claims, and determine patient responsibility.
- Verify procedure codes against notification requirements and benefit coverage to determine next steps.
- Utilize job aid tools to identify and follow appropriate procedures.
- Document, review, and interpret historical patient documentation (e.g., MAR, H&P).
- Navigate between multiple computer screens and platforms to research necessary information.
- Stay updated on computer system and process changes, incorporating them into daily tasks.
- Participate in team meetings and share relevant patient information.
- Contact internal resources to clarify information as needed.
- Identify and connect requesters with appropriate resources (doctors, providers, etc.).
- Provide and explain benefit information to providers and patients.
- Obtain necessary verbal and written consent (PSA) from patients.
- Collect patient pay portions upon admission to services.
- Collaborate with multidisciplinary teams to ensure complete patient onboarding.
- Inform members/providers of the status of requests (notification, authorization).
- Perform patient onboarding tasks within Cloud workflow and approved turnaround times.
- Update and add prescribers during the onboarding process.
- Perform other duties as assigned.
Key Qualifications
- High School Diploma / GED or equivalent work experience.
- Must be 18 years or older.
- 2+ years of experience analyzing and solving customer problems.
- 2+ years of experience in the Health Care Industry.
- Ability to work full-time (40 hours/week), Monday - Friday, with flexibility for 8-hour shifts between 10:00 am - 8:00 pm CST.
- Ability to work required overtime in the first 6 weeks of the year and occasional Saturdays.
Preferred Qualifications
- Experience with Health Care Insurance.
- Experience in a Hospital, Physician's Office, or Medical Clinic setting.
- Experience with Medicare and/or Medicaid Services.
- Clerical or Administrative support background or Call Center experience.
Telecommuting Requirements
- Ability to keep all company sensitive documents secure.
- Must have a dedicated, private work area.
- Must have a UnitedHealth Group approved high-speed internet connection.
- Adherence to UnitedHealth Group's Telecommuter Policy is required.
Compensation and Benefits
Pay ranges from $17.98 - $32.12 per hour, based on factors like local labor markets, education, experience, and certifications. Optum offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase, and 401k contributions (subject to eligibility). All benefits are subject to eligibility requirements.
Application Deadline
This position will be posted for a minimum of 2 business days or until a sufficient candidate pool is collected. The posting may be removed early due to high applicant volume.
Our Commitment
UnitedHealth Group is dedicated to helping people live healthier lives and improving the health system. We believe in equitable care for everyone, addressing health disparities and improving health outcomes. We are committed to environmental sustainability and delivering equitable care.
Key skills/competency
- Clinical Administrative Coordination
- Health Care Industry
- Customer Problem Solving
- Medical Terminology
- Benefits Authorization
- Patient Onboarding
- Referral Processing
- Call Center Operations
- HIPAA Compliance
- Electronic Health Records (EHR)
Skills & topics
- Clinical Administrative Coordinator
- Healthcare Administration
- Patient Services
- Referral Coordinator
- Benefits Specialist
- Customer Service
- Remote Work
- Optum Careers
- Health Insurance
- Medical Office Support
How to get hired
- Tailor your resume: Highlight your 2+ years of healthcare industry and customer problem-solving experience, aligning keywords with the Clinical Administrative Coordinator role.
- Showcase relevant skills: Emphasize experience with medical/pharmacy benefits, authorization reviews, and patient onboarding in your application.
- Address telecommuting requirements: Confirm you meet the criteria for a dedicated workspace and reliable high-speed internet for this remote position.
- Prepare for the interview: Be ready to discuss your problem-solving approach in healthcare settings and your understanding of call center or administrative support functions.
- Understand compensation: Be aware of the hourly pay range ($17.98 - $32.12) and the comprehensive benefits package offered by Optum.
Technical preparation
Practice navigating multiple computer systems efficiently.,Familiarize yourself with healthcare terminology and acronyms.,Review common referral and authorization processes.,Understand data entry and documentation standards.
Behavioral questions
Describe a complex customer problem you solved.,How do you handle sensitive patient information?,Explain how you manage multiple tasks simultaneously.,How do you communicate benefit details clearly?
Frequently asked questions
- What is the work arrangement for the Clinical Administrative Coordinator role at Optum?
- The Clinical Administrative Coordinator position at Optum is a National Remote role, meaning you can telecommute from anywhere within the U.S. You will need to maintain a dedicated and private workspace and ensure you have a reliable, high-speed internet connection approved by UnitedHealth Group.
- What are the required working hours and flexibility for this Optum position?
- This is a full-time role (40 hours/week) typically Monday - Friday. Employees must have flexibility to work any 8-hour shift between 10:00 am and 8:00 pm CST. Overtime may be required during the first 6 weeks of the year, with occasional Saturdays.
- What experience is essential for the Clinical Administrative Coordinator job at Optum?
- To be considered for the Clinical Administrative Coordinator role, you must have a High School Diploma or GED (or equivalent experience), be 18 or older, possess 2+ years of experience analyzing and solving customer problems, and 2+ years of experience working in the Health Care Industry.
- What are the preferred qualifications for an applicant applying for the Clinical Administrative Coordinator role at Optum?
- Preferred qualifications for this role include experience with Health Care Insurance, working in a Hospital, Physician's Office, or Medical Clinic setting, experience with Medicare and/or Medicaid Services, and a background in clerical/administrative support or a Call Center environment.
- How is the pay determined for the Clinical Administrative Coordinator position at Optum?
- The hourly pay for this role ranges from $17.98 to $32.12. This is determined by several factors, including local labor markets, your education, work experience, and any relevant certifications. Optum also offers a comprehensive benefits package.
- What is the application deadline for the Clinical Administrative Coordinator position at Optum?
- The application for the Clinical Administrative Coordinator position will remain open for a minimum of 2 business days or until a sufficient candidate pool is collected. Due to high applicant volume, the job posting may be removed earlier than the stated deadline.
- Does Optum offer benefits for the Clinical Administrative Coordinator role?
- Yes, Optum offers a comprehensive benefits package for the Clinical Administrative Coordinator role. This may include incentive and recognition programs, equity stock purchase, and 401k contributions, subject to eligibility requirements.