Clinical Administrative Coordinator - Maryland Heights, MO
UnitedHealth Group - Maryland Heights, MO, US
Job description
Position 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, 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.
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care doing your life's best work.
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.
Positions in this function are responsible for processing requests for peer review scheduling between facility attending physicians and Optum MDs. Schedulers are detail oriented with workflows and time zone issues as well as licensure and regulatory requirements surrounding peer review scheduling. Carefully monitors turnaround time requirements. Incumbents are regularly responsible for dealing professionally with confidential information while performing several aspects of assigned work. Schedulers work under general supervision.
Primary Responsibilities:
Clinical Admin & Processing
Primary Location
US-MO-Maryland Heights
Organization
Behavioral Solutions
Number of Openings
Diversity creates a healthier atmosphere: 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.
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, 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.
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care doing your life's best work.
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.
Positions in this function are responsible for processing requests for peer review scheduling between facility attending physicians and Optum MDs. Schedulers are detail oriented with workflows and time zone issues as well as licensure and regulatory requirements surrounding peer review scheduling. Carefully monitors turnaround time requirements. Incumbents are regularly responsible for dealing professionally with confidential information while performing several aspects of assigned work. Schedulers work under general supervision.
Primary Responsibilities:
- Assures peer reviews are scheduled with appropriately licensed MD based on a number of factors within expected turnaround times.
- Contacts treating facility to determine attending MD availability.
- Determines if MD availability is exhausted so that review can be sent for external MD organization.
- Completes and submits external reviewer form including clinical summary taken from member's record.
- Processes external review clinical reports to assure sign off within required turnaround time and by appropriately licensed MD.
- Is logged into and answers Queue line calls.
- Identifies scheduling issues and discusses solutions with senior or supervisor.
- responds to questions from internal and external parties involved in the scheduling process.
Clinical Admin & Processing
Primary Location
US-MO-Maryland Heights
Organization
Behavioral Solutions
Number of Openings
- High School Diploma or GED
- 2+ years of Customer Service experience
- Scheduling experience within a Clinical or Business setting
- Experience applying specific policies or standards to daily work to assure compliance with relevant regulations
- Ability to navigate a computer and Windows including Microsoft Word and Excel
- Associate's or Bachelor's Degree
- Direct experience scheduling peer reviews or working with healthcare regulatory and compliance issues
- Knowledge of HIPAA compliance
- Previous experience with benefits and medical terminology
- Healthcare experience
- Experience working with ICD9/CPT codes
- Experience analyzing patient records
- Experience working in a mental health/substance abuse facility
Diversity creates a healthier atmosphere: 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.
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