Clinical Administrative Coordinator - Remote in Texas
at UnitedHealthcare
Desired Skills
About Job
Maintain 100% adherence to State contract, CMS requirements, and Product & Program Requirements
100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables
Monitor the timely receipt and accuracy of State assessments received from Service Coordinators while demonstrating compliance to ensure that all internal and State deadlines are met
Act as an advocate for our membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed
Proactively seek the root cause of member and provider issues and promptly communicate with all appropriate business segments of identified issues and potential solutions
Document saving and uploading in electronic records
Providing essential administrative support to Service Coordinators as a member of the Service Coordination team through spirit of collaboration to ensure efficiency in all administrative areas
Contact member regarding service delivery
Contact providers as needed for service referrals
Track work in SharePoint or other forms
Identify and champion opportunities and support colleagues in the pursuit of increasing Quality, Accuracy, Value, Affordability, and Timeliness
Requirements
High School Diploma/GED (or higher)
2+ years of clerical or administrative work experience
2+ years of experience using the telephone and computer as primary instruments to perform job duties
Intermediate level of proficiency with Microsoft Office applications (Excel, Word, Teams and Outlook)
Ability to keep all company sensitive documents secure
Dedicated work area established that is separated from other living areas that provide information privacy
Reside in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)
Reside in the state of Texas
Additional Instructions
Maintain 100% adherence to State contract, CMS requirements, and Product & Program Requirements
100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables
Monitor the timely receipt and accuracy of State assessments received from Service Coordinators while demonstrating compliance to ensure that all internal and State deadlines are met
Act as an advocate for our membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed
Proactively seek the root cause of member and provider issues and promptly communicate with all appropriate business segments of identified issues and potential solutions
Document saving and uploading in electronic records
Providing essential administrative support to Service Coordinators as a member of the Service Coordination team through spirit of collaboration to ensure efficiency in all administrative areas
Contact member regarding service delivery
Contact providers as needed for service referrals
Track work in SharePoint or other forms
Identify and champion opportunities and support colleagues in the pursuit of increasing Quality, Accuracy, Value, Affordability, and Timeliness
Perks and Benefits
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
