Senior Clinical Administrative Coordinator

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Senior Clinical Administrative Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, delivers excellent customer service. Supports the team in meeting clinical and service goals. The Senior Clinical Administrative Coordinator will be asked, at times, to complete outbound calls to members for survey purposes

Schedule : Monday - Friday, 8 : 30am-5pm or 8am-4 : 30pm PST

Location : 1229 Madison Street, Suite 1600, Seattle, WA 98104

Primary Responsibilities :

• Provide front and back-office support in a float Patient Care Coordinator / Scheduler role
• Answers all phone calls from 3 phone queues (scheduling, high priority, and overflow)
• Provide high level of customer service while communicating with internal departments and external provider office staff as pertains to performance of job duties
• Review and process prior authorization requests to meet departmental key indicator productivity
• Verifies patient insurance eligibility & benefits to include applicable co-pays, co-insurances, deductibles, Out of Pocket Maximum, appropriate service facilities, services covered and which services if any require prior authorization
• Intakes all demographic information for new patients
• Updates demographic information for existing patients
• Collect insurance information
• Requests medical records from the PCP / hospitals / referring physician for new patients
• Schedules / Reschedules / Cancels patient's appointments for multi-location multi-providers for an Internal Medicine practice
• Routes calls throughout the office to the appropriate department
• Submit Specialists Referrals with appropriate clinical information using established protocols & procedures
• Resolve customer service inquiries which could include Benefit and Eligibility information, Authorization for treatment, Specialists Orders / Referrals
• Relays messages from patients / specialist / pharmacies to the appropriate individual
• Willing to work with others as well as an individual to meet company goals
• Handle 40+ incoming calls daily
• Accepting all incoming HMO and FFS referrals 100+ daily via portals, faxes, messages
• Handle all hospital face sheets / service messages / voicemails / faxes / direct messages and add-ons
• Exceed attendance standards set by company policy
• Responsible for contacting patients for cosmetic consultations
• Monitoring workflow
• Training new hires
• Creating and managing team schedules
• Assist with onboarding new employees
• Responsible for contacting leads and follow up procedures
• Ability to support all staff and leadership in their roles
• Ability to de-escalate and resolve patient complaints
• Any other duties that may arise
• Meet Quality, Productivity and Attendance requirements
• Making outbound calls to members and provider offices
• Maintaining accurate documentation
• Being responsible for any follow-up work needed for resolving and closing issues
• Identifying and resolving anticipated Provider issues to prevent future calls
• Maintain proficiency in all technical applications (technical skills and system knowledge)
• Comply with all current policies, procedures and workflows
• Collaborate with Care Managers, Hospital Staff, Providers, and Community agencies and organizations to facilitate to services
• Leads the activities of team members by communicating and providing guidance toward achieving department objectives.
• Participates in internal / external collaborative meetings on Service Needs and discusses barriers to service initiation
• Effective communication with Care Team members throughout workday via email, TEAMs chat, and telephone to assist in coordination of care.
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include :

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications :

Preferred Qualifications :

Soft Skills :

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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