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Clinical Admin Coordinator SSM - Bridgeton, MO

Company: UnitedHealth Group
Location: Fairview Heights
Posted on: May 26, 2023

Job Description:

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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.

This position is full-time. Employees are required to work our normal business hours of 8:00am - 4:30pm. It may be necessary, given the business need, to work occasional overtime and/or weekends. Our office is located at 12303 DePaul Drive Bridgeton, Missouri 63044.

Primary Responsibilities:

  • Outpatient IV infusion, wound care, outpatient therapy appointments
  • Managing Home Health in-basket
  • Monitor Discharge Disposition
  • Monitor Case Management and Social Work consult lists to ensur/e someone is following up and appropriate consults or provide community resources.
  • Create e-tickets to add facilities into Epic
  • Resources. Assist with resource lists
  • IMM's and MOONs Appeals
  • Placements/Home Health
    • Send referrals for difficult placements and home health
    • Follow up phone calls on placements/home health.
    • Authorizations
      • Cyberaccess. Medicaid authorizations for DME
      • Authorization Post Acute Services (SNF, LTAC, DME etc )
      • Ambulatory follow up appointments
        • Schedule Post Hospitalization follow up appointments
        • Department Voice mail
          • Monitor department voice mail and distribute calls/e-mails
            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)
            • 2+ years of customer service experience
            • Familiarity with Microsoft Office Applications (Outlook, Word, Excel)
            • Experience working in a hospital, physician's office or medical clinic setting.
            • Ability to answer phone calls, schedule appointments and work with medical insurance
            • Ability to work onsite at 12303 DePaul Drive Bridgeton, Missouri 63044
            • Ability to work full-time between 8:00am - 4:30pm, including the flexibility to work occasional overtime and/or weekends given the business need
            • 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
                  Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place 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, Springfield , Clinical Admin Coordinator SSM - Bridgeton, MO, Administration, Clerical , Fairview Heights, Illinois

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