Clinical Administrative Coordinator - Hybrid in Richmond and Surrounding Areas, VA
Company: UnitedHealth Group
Location: Richmond
Posted on: March 22, 2025
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Job Description:
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 equitable.
Ready to make a difference? Join us to start Caring. Connecting.
Growing together.
The 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, deliver excellent customer service. Supports the
teams in meeting clinical and service goals.
Work Hours: Full-time (40 hours/week) Monday through Friday, any
8-hour or 10- hour shift to be determined by the hiring manager
between the hours of 7am to 6pm EST with the possibility to work
additional hours as needed for the business needs
If you reside in Richmond or Reston, VA, and surrounding
communities, you'll enjoy the flexibility to telecommute* as you
take on some tough challenges. This position is hybrid and does
require some in-office days. (Typically 1x/ month.)
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
Extract and review of fax requests for medical or clinical
services, and ensure that these requests are assigned to the
correct individual(s)
Access electronic member files using policy or id number
Determine member eligibility
Provide support to field staff in locating providers who can assist
our members. This will include calling/ emailing / faxing multiple
providers
Mail member materials, including care plans, and open, sort and
distribute incoming correspondence via hard copy or e-mail
Fax care plans to providers on the member's care team
Follow protocols to task requests appropriately
Reference automated job aid tools via the computer to identify
appropriate procedures when needed
Consistently meet established productivity, schedule adherence, and
quality standards while maintaining good attendance
Maintain Confidentiality and adhere to HIPAA Requirements
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:
Paid Time Off which you start to accrue with your first pay period
plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending
Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term
disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance,
etc.)
More information can be downloaded at:
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 higher) OR 4+ years of experience
working within the healthcare industry or with healthcare
insurance
2+ years of customer service experience
Intermediate level of proficiency with MS Word, Excel (create,
edit, save documents) and Outlook (email and calendar management)
and use of multiple web applications
Access to a designated quiet workspace in your home (separated from
non-workspace areas) with the ability to secure Protected Health
Information (PHI)
Reside in the state of Virginia within a commutable distance to
Richmond, Reston, and surrounding communities, as you may be asked
to go into the office in these locations throughout the year
Preferred Qualifications:
1+ years of experience working with medical terminology
Experience working at home
Experience working within the healthcare industry and with
healthcare insurance
Experience working in a hospital, physician's office or medical
clinic setting
Clerical or administrative support experience
*All Telecommuters will be required to adhere to UnitedHealth
Group's Telecommuter Policy.
The salary range for this role is $16.88 to $33.22 per hour based
on full-time employment. Pay is based on several factors including
but not limited to local labor markets, education, work experience,
certifications, etc. UnitedHealth Group complies with all minimum
wage laws as applicable. In addition to your salary, UnitedHealth
Group offers 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
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives.
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.
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.
#RPO #Yellow
Keywords: UnitedHealth Group, Richmond , Clinical Administrative Coordinator - Hybrid in Richmond and Surrounding Areas, VA, Administration, Clerical , Richmond, Virginia
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