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Bilingual English and Spanish Associate Clinical Administrative Coordinator - Las Vegas, NV more...
Location:Las Vegas (Las Vegas Business Reply), NV
Company:OptumCare
First posted:June 15, 2017
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Position Description:

Energize your career with one of Healthcares 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, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies, UnitedHealth Group 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 17 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.

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:

Manage the intake of members or the admission / discharge information post notification
Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and / or providers
Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Provide appropriate triage and care coordination notification cases for non-clinical assessment / intervention
Process notification requirements
Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
Handle resolution / inquiries from members and / or providers that may include:

Benefit and Eligibility information
Billing and Payment issues
Customer material requests
Physician assignments
Authorization for treatment
Explanation of Benefits (EOB)
Verifying appropriate ICD-9 and CPT coding usage
This position would answer phones and process requests for authorization as well as provide referral services for members seeking behavioral health services
Must be able to sit for a long period of time

Required Qualifications:

High School Diploma / GED
6+ months of Call Center experience
6+ months of Customer Service experience
Must be able to create, edit, save and send documents utilizing Microsoft Word and Microsoft Excel
Must be able to navigate a PC to open applications, send e-mails and conduct data entry
Must be Bilingual English and Spanish
Preferred Qualifications:

Mental Health experience
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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.

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, Las Vegas, customer service, call center, mental health experience

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