HIDE SNP Clinical Administrative Coordinator - Macomb County, MI and surrounding - 2292251

Join UnitedHealthcare as a Clinical Administrative Coordinator

UnitedHealthcare is excited to serve more members in Michigan and is seeking dedicated professionals to be part of our team. If you are enthusiastic about making an impact in healthcare, join us to start Caring. Connecting. Growing Together.

The Clinical Administrative Coordinator role is an essential part of an Integrated Care Model. You will work collaboratively with our clinical partners and other internal stakeholders and be a key component in customer satisfaction, making every contact informative, productive and positive for our members and providers. Youll have the opportunity to do live outreach, educating people about program benefits and services while also helping to manage individual cases and support the clinical team.

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. This position is a home-based position with expected travel time for member home visits and community-based travel up to 30% within a 50-mile radius and/or 50-minute drive from your home pending business needs. If you live in the Macomb County, MI and surrounding market, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.

Primary Responsibilities:

• Manage administrative intake of people with UHC insurance and complete required documentation in our medical management systems
• Maintain compliance with turnaround times based on the members product, the type of request and the specific regulatory agency
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Assist the clinical staff with setting up documents/triaging cases
• Handle resolution/inquiries from members and/or providers
• Work collaboratively with clinical partners and Home and Community Based Service providers to manage services
• Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach
• Supports member related correspondence and educational materials
• Handle resolution inquiries from members, providers and clinical partners
• Collaborate with internal departments including leadership to resolve issues
• Maintain confidentiality and adhere to HIPAA Requirements
• Consistently meet established productivity, scheduling, and quality standards
• Navigate and document inside multiple clinical applications
• Performs other duties as assigned

Youll 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
• 1+ years of experience working within the healthcare industry or with healthcare insurance
• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Must reside in the state of Michigan

Preferred Qualifications:

• Experience working in a hospital, physician's office or medical clinic setting
• Experience working in a call center
• A clerical or administrative support background
• Prior work at home experience
• Medicare and/or Medicaid experience
• Long-Term Care knowledge

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

UnitedHealth Group is an Equal Employment Opportunity employer and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.