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  • Honolulu, HI

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Senior Clinical Administrative Coordinator - Honolulu, HI

UnitedHealth Group • Honolulu, HI

Posted 21 days ago

Job Snapshot

Healthcare - Health Services
Health Care


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Job Description

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. 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 Senior 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.

Primary Responsibilities:

  • Responsible for verifying members’ eligibility, level of care placement, ensure member meets all qualifications for services being requested

  • Responsible for working up cases, reviewing, decision making and coordinating services with the HCBS UM Review Nurses

  • Responsible for meeting turnaround timelines

  • Manages incoming communication calls / faxes / emails / tasking group – members / providers

Required Qualifications:

  • High School Diploma / GED (or higher)

  • 1+ years of telephonic customer service experience 

  • 1+ years of Medicaid experience 

  • Experience using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)

Preferred Qualifications:

  • Bachelor's Degree (or higher)

  • Medical / Healthcare experience

  • Experience with Medical Terminology and ICD-9 / ICD-10 Coding 

  • Call center experience (high volume preferred) 

  • Experience working with HIPAA requirements

  • Bilingual in any language 

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV/AIDS and High-risk Pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do 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, Honolulu, Hawaii, Healthcare, Call Center, Telephonic
Job ID: 2551_747454
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