UnitedHealth Group Clinical Administrative Coordinator - Sacramento, CA Telecommute in ROHNERT PARK, California
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life’s best work.
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work .
What makes your clinical career greater with UnitedHealth Group ? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
You will be selected for one of the three positions within this job code: Benefit Verification Coordinator, Prior Authorization Coordinator, Patient Care Coordinator. Millions of people place their trust in the clinicians and care givers on our expanding global team. There’s an energy and excitement here, a shared mission to improve the lives of those we serve while building our competencies and knowledge. Work with us and you’ll discover a passion for excellence you won’t find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that’s helping to drive the health care industry forward.
The Benefit Verification Coordinator is responsible for preparing and managing paperwork and documentation for billing and collections
The Prior Authorization Coordinator is responsible for obtaining prior authorization or pre-certification of services to be rendered as required by each individual payor
The Patient Care Coordinator will provide support to the pharmacy, nursing and reimbursement departments, performing as the liaison between patient, pharmacy and nursing to effectively carry out physician's order to infusion.
Other duties as assigned
High School Diploma / GED
1+ years of experience working in an office setting using the telephone and computer as the primary instruments to perform the job duties
Experience using a computer and Microsoft Office: Microsoft Word, Microsoft Excel, and Microsoft Outlook
Ability to maintain confidentiality and adhere to HIPAA requirements
Comfortable working an 8-hour shift between 7:00 am and 7:00 pm, Monday through Friday with possible weekends
Must live within 1 1/2 hr commutable distance to Sacramento, Marina, Rohnert Part or Cerritos CA
Prior authorization knowledge / experience
Home infusion, DME, or Pharmacy experience
Intake / Insurance experience
Medical billing or coding experience
Experience with Medicaid and / or Medicare
Careers with AxelaCare. Discover a health services career that encourages your professional growth while delivering steadfast commitment to exceptional patient care. That's what you discover at AxelaCare. We were founded by a close group of medical professionals in Lenexa, KS to provide patient-focused, state of the art home infusion services for acute, hemophilia and Intravenous Immune Globulin (IVIG) therapies. Today we collaborate with leading doctors to develop breakthrough technologies for patient outcomes assessment; and we recently joined Optum, part of the UnitedHealth Group family of companies. It all reinforces our commitment to empowering people in the pursuit and delivery of exceptional patient care, and creating personalized career paths to discovering your life's best work .
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.
Keywords: UHG, Lenexa, Customer Service, Healthcare, telephonic, benefits, advocacy, AxelaCare, Patient Care, Prior Authorization