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Senior Clinical Administrative Coordinator - Overland Park,

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Job Details
Job Order Number
JC138983078
Company Name
UnitedHealth Group
Physical Address

Overland Park, KS 66210
Job Description

Energize
your career with one of Healthcare’s fastest growing companies.

You dream of
a great career with a great company – where you can make an impact and help
people. We dream of giving you the
opportunity to do just this. And with
the incredible growth of our business, it’s a dream that definitely can come
true. Already one of the world’s leading Healthcare companies, UnitedHealthGroup is restlessly pursuing new ways to operate our service centers, improve
our service levels and help people lead healthier lives. We live for the opportunity to make a
difference and right now, we are living it up.

This
opportunity is with one of our most exciting business areas: Optum – a growing
part of our family of companies that make UnitedHealth Group a Fortune 5
leader.

Optum helps
nearly 60 million Americans live their lives to the fullest by educating them
about their symptoms, conditions and treatments; helping them to navigate the
system, finance their healthcare needs and stay on track with their health
goals. No other business touches so many lives in such a positive way. And we
do it all with every action focused on our shared values of Integrity,
Compassion, Relationships, Innovation & Performance.

Let’s talk
about meaningful work. UnitedHealth Group is always looking for new ways to
improve our ability to deliver high – quality care. As part of our clinical
support team, you’ll help make every contact informative, productive and
positive for our members and providers. You’ll have a chance to do live outreach,
educating members about program benefits and services while also helping to
manage member cases. It’s truly an opportunity to make an impact on a huge
scale.

PrimaryResponsibilities:

+ Act as asubject matter expert, providing support for your team as well as handlingescalated issues

+ Ensure allnotices of action and extension letters comply with applicable client, federaland state rules, laws, consent decrees and accreditation standards

+ Coordinateinternal reviews on denial letters to determine compliance with letters andensure letter corrections are made within regulatory timeframes

+ Maintainextensive knowledge of regulatory and accreditation requirements

+ Maintainknowledge of state rules, contracts and federal legislation / regulations

Required Qualifications:

+ High School Diploma / GED or higher

+ Demonstrated proficiency with Microsoft Office – Word (create, edit, save) Excel (create, edit, save) Outlook (Send emails, receive emails, appointments)

+ 1+ years’ customer service experience analyzing and resolving customer issues / concerns in a professional setting

+ Knowledge of Medical Insurance benefits including benefits package knowledge / medical insurance terminology

+ Ability to work an 8 – hour shift between the hours of 7:00 a.m. – 7:00 p.m. CST

Preferred Qualifications:

+ Medical infusion or specialty experience

Careers with BriovaRx Infusion Services. If you choose a career with BriovaRx Infusion Services, you’ll join a team that is dedicated not only to delivering the latest in home infusion therapy, but also providing that care in a patient – first approach that offers better outcomes. As part of the Optum and UnitedHealth Group family of businesses, we strive to help our patients feel comfortable in their regimen so they can receive the treatment they need while maintaining the lifestyle they prefer. At BriovaRx Infusion Services, you’ll join a team that inspires you to do better every day, resulting in your life’s best work.SM

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: OptumRx, UHG, UnitedHealth Group, Senior Clinical Administrative Coordinator, Clinical Coordinator, Clinical Administrator, CAC, Medical Terminology, Insurance, Benefits, Medical Insurance


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