Role Description
This position is Remote in Tampa, FL. If you are located within commutable distance to the office at Tampa, FL, you will have the flexibility to work remotely as you take on some tough challenges.
The Clinical Administrative Coordinator plays a key role in ensuring the completion of established processes and protocols. This position collaborates effectively with all members of the care team to uphold the organizationβs mission and vision, while consistently delivering exceptional customer service. The coordinator also supports clinical teams in achieving both service and care delivery goals.
Primary Responsibilities
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Act as a Subject Matter Expert for other team members
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Work with the clinical team to manage requests for services
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Manage the intake of members or the admission/discharge information post notification
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Manage the referral process, processing incoming and outgoing referrals and authorizations, including intake, notification and census roles
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Resolve inquiries from members and/or providers
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Completing special projects
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Performs other duties as assigned
Qualifications
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High School Diploma / GED OR equivalent work experience
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Must be 18 years of age OR older
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2+ years of customer service experience analyzing and solving customer problems
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Ability to travel up to 10% locally to attend team Quarterly meetings
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Intermediate level of proficiency with Microsoft Word, Microsoft Excel, Microsoft Outlook, and the ability to use multiple web applications
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Ability to work full-time (40 hours/week) Telecommute position in Tampa, Florida
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The schedule is Monday through Friday and an 8-hour shift between the hours of 8:00 am to 5:00 pm EST
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It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications
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2+ years of experience working in the health care industry
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2+ years of experience working with medical terminology
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1+ years of experience working with Medicare and/or Medicaid Services
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Work at home experience
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Experience working in metrics driven environment
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Knowledge of ICD-10 and CPT codes
Telecommuting Requirements
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Reside within 20 miles to Tampa, Florida
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Ability to keep all company sensitive documents secure (if applicable)
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Required to have a dedicated work area established that is separated from other living areas and provides information privacy
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Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills
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Ability to work independently and as a team, and maintain good judgment and accountability
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Demonstrated ability to work well with health care providers
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Strong organizational and time management skills
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Ability to multi-task and prioritize tasks to meet all deadlines
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Ability to work well under pressure in a fast-paced environment
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Excellent verbal and written communication skills
Benefits
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Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
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Medical Plan options along with participation in a Health Spending Account or a Health Saving account
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Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
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401(k) Savings Plan, Employee Stock Purchase Plan
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Education Reimbursement
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Employee Discounts
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Employee Assistance Program
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Employee Referral Bonus Program
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Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)