Clinical Administrative Coordinator SSM - St. Louis, MO

Company: UnitedHealth Group
Location: High Ridge
Posted on: May 27, 2023

Job Description:

Come join us for our Virtual Career Event!

Attend a Live Q&A 5/18/2022 and chat with Recruiters supporting Optum and SSM Health roles

Register for our event at

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together.

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance 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 a chance to make an impact.

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 (8:00am - 4:30pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 1201 S. Grand Blvd . St . Louis , MO 63104 .

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 mem Deliver Follow up IMM letters on medicare patients and document
• Handle appeal process with Livanta (QIO) when patient appeals
• Point person to for ground crew ambulance trips
• Document ground crew trips in smartsheet daily
• Send daily emails to nursing leaders regarding next day ambulance trips
• Send monthly ground crew stats
• Gather IMM audit reports monthly and add in medical records
• Complete cyberaccess for medical patients on DME
• Check voicemails throughout the day and distribute to staff
• Check faxes and distribute to staff
• Help with difficult referrals
  This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.
  
  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)
  • Familiarity with Microsoft Office Applications (Outlook, Word, Excel)
  • 2+ years of customer service experience
  • Experience working in a hospital, physician's office or medical clinic setting.
  • Ability to answer phone calls, schedule appointments and work with medical insurance
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.
    Preferred Qualifications:
    • Clerical or administrative support background
    • Knowledge of ICD-9 and CPT codes
    • Epic experience
      Soft Skills:
      • Demonstrates strong oral and written communication skills
      • Ability to listen and assimilate new information rapidly
      • Possess excellent interpersonal and "system thinking" skills
        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as 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.
        
        Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. SM
        
        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.
        
        
        
        

Keywords: UnitedHealth Group, Columbia , Clinical Administrative Coordinator SSM - St. Louis, MO, Administration, Clerical , High Ridge, Missouri