Overview

Clinical Administrative Coordinator – Atlanta, GA Jobs in Atlanta, GA at Optum


Title: Clinical Administrative Coordinator – Atlanta, GA

Company: Optum

Location: Atlanta, GA

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 Groupis 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 makeUnitedHealth Groupa Fortune 10 leader.

Optumhelps 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 withUnitedHealth 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.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:30am – 5:00pm) Central Standard Time. Our office is located at Atlanta, GA.

Primary Responsibilities

Review and triage incoming faxes for dedicated lines of business on behalf of clinical staff.

Gather and data enter clinical specifics to build authorization for clinicians.

Process administrative authorization requests submitted both electronically and paper within compliance timeframes, in various clinical platforms.

Serves as a liaison between call and clinical operation to investigate and resolve authorization conflicts that are submitted by claim processors.

Administratively assign Treatment Milestone Outlier (TMO) Authorizations to Facility Based Care Advocates (FBCA)

Outbound calls to providers of service to withdrawal and/or update authorizations.

Outbound member notification calls within defined regulatory timeframes.

Outbound calling to providers of service to obtain consumers treatment status as a part of the access to care process.

Generate written approval notification letters using ELGS (Electronic Letter Generation System)

Manually fax authorization letters to provider for members at IP facilities to ensure regulated written notification timeframes are met.

Process various non-clinical admin tasks in support of clinical operations.

Front-end eAccommodation submission.

Navigate and document multiple clinical applications and SharePoint sites

Submit Electronic Provider Updates requests.

Support internal business partner emailed inquires.

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 / G…

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About Optum