Clinical Administrative Coordinator

This position follows a hybrid schedule with some in-office days and some remote days per week. Our office is located at 2716 N Tenaya Way, Las Vegas, NV 89129.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

A Clinical Administrative Coordinator involves managing a high volume of data entry, call center tasks, and care coordination responsibilities.

This is a full time position (40 hours per week) requiring flexibility in scheduling across Monday through Sunday. Employees may work either an 8-hour OR 10-hour shifts during standard business hours:

• 4:00 am - 5:00 pm PST from Monday - Friday
• 5:00 am - 5:00 pm PST on Saturday
• 5:00 am - 3:30 pm PST on Sunday

Schedules will vary based on business needs and will include occasional overtime and holiday shifts.

This position offers flexibility with either a remote or hybrid work schedule, where hybrid employees split their time between working onsite and remotely.

We offer 8 weeks of paid training in the office. The hours during training will be 8:00 am - 5:00 pm PST, Monday - Friday. Training will be conducted onsite.

Primary Responsibilities: 

• Under the manager direction, functions as a Clinical Administrative Coordinator in the Utilization Review Department
• Primarily responsible for cases by data entry of clinical into the Facets system, via telephone, fax or computer
• Builds prior authorizations and generates letters while staying within compliance with time frames
• Communicates with providers other departments as needed
• Works independently with minimal supervision
• Data entry of faxes into the FACETs system and telephone requests to meet department key indicator productivity and accuracy standards; maintain minimum of 98% case data entry accuracy
• Provide high level of customer service while communicating with internal departments and hospitals as pertains to performance of job responsibilities
• Takes responsibility for problem solving to achieve key indicator goals

You'll 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 OR equivalent work experience
• Must be 18 years of age OR older
• 2 years of experience in a healthcare facility, medical office, hospital, OR managed care setting
• Experience with medical terminology, ICD-10, and CPT codes
• Experience with using Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (creating spreadsheets, working within spreadsheets), and Microsoft Teams (communication)
• Ability to work any of our full time (40 hours / week), 8- OR 10-hour shift schedules from Monday - Sunday during our normal business hours of 4:00 am - 5:00 pm PST from Monday - Friday, 5:00 am - 5:00 pm PST on  Saturday, and 5:00 am - 3:30 pm PST on Sunday, including the flexibility to work occasional overtime and holidays based on business needs

Preferred Qualifications:

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as primary job tools

Telecommuting Requirements:

• Reside within commutable distance to the office at 2716 N Tenaya Way, Las Vegas, NV 89129
• 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

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $18 - $32 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.

#RPO

Salary : $18 - $32