Clinical Administrative Coordinator - Telecommute in New Jersey - 2027669

 $750 Sign On Bonus For External Candidates

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.(sm)

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30am – 5pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 170 Wood Ave FL 3, Iselin, NJ, 08830.

If you are located in the state of New Jersey, Pennsylvania, Delaware or New York, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Primary Responsibilities:

Manage administrative intake of members

Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers

Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles

Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review

Handle resolution/inquiries from members and/or providers 

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 or GED (or higher)

2+ years of customer service experience

Intermediate experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send correspondence), Microsoft Word (ability to create, edit, save, and send documents), Microsoft Excel (ability to create, edit, save, and send spreadsheets) and Microsoft PowerPoint (ability to open, edit, save and send presentations)

Must be able to come into the Iselin, NJ location at 170 Woods Ave, Iselin, NJ 08830 one day a week and/or as needed for meetings.

Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

Experience working within the health care Industry and with health care insurance

Experience working in a hospital, physician's office or medical clinic setting

A clerical or administrative support background

Knowledge of ICD-9 and CPT codes

Experience working in a call center

Telecommute Requirements:

Must reside in the state of New Jersey, Pennsylvania, Delaware or New York

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Ability to keep all company sensitive documents secure (if applicable)

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.

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.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.