Clinical Administrative Coordinator jobs in Nevada

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM 

Under supervision, the Senior Clinical Administrative Coordinator assists in reviewing and directing daily work load. Performs duties in support of the Utilization Management department in accordance with company policies, state and federal laws applicable to the operating unit. Acts as a resource for complex issue resolution.  Assists in developing and maintaining efficient and effective processes. Responsible for initiation of cases by data entry of clinical into the Facets system, via telephone, fax or computer. Electronically routes cases to the nurse for review and decision. After decision, is responsible for accurate case completion to include generation of approval letters while staying within compliance with time frames. Communicates with providers other departments as needed. Works independently with minimal supervision.   

Hours: This position is full-time (40 hours/week) Monday - Friday. Employees are required to work an 8-hour shift during our normal business hours of (8:00am - 5:00pm PST). Training will be primarily onsite, Monday – Friday, while some training may be done remotely.

Location: 2716 N TENAYA WAY, 3^rd floor, Las Vegas, NV 89128

Primary Responsibilities:

• Monitors daily workload and appropriately distributes work amongst staff
• Problem solves complex issues related to prior authorizations cases
• Review and process fax/telephone/computer requests to meet departmental key indicator productivity and accuracy standards; maintain minimum of 95% case data entry accuracy
• Follow departmental policy regarding accurate documentation of clinical data, demographic and product information, provider/facility contract status; process and follow department policy for non-clinical level notifications
• Maintain 100% of letter generation accuracy within compliance time frames
• Provide high level of customer service while communicating with internal departments and provider office staff as pertains to performance of job responsibilities
• Verify insurance eligibility and benefits at beginning of case and ongoing
• Prepares report as requested by management team
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• ·Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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) OR 4 years of equivalent experience working within the health care Industry or with health care insurance
• 3 years of experience in a healthcare facility, medical office, hospital or managed care setting 
• 1 years of experience working with medical terminology and CPT\ICD-10 coding experience
• 1 years experience working within the health care Industry or with health care insurance
• 1 years of experience in an Office setting using the telephone and computer as the primary instruments to perform the job duties
• Intermediate level of proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management) be able to use multiple web applications, to include preparing and/or format office documentation needed for various audiences

Preferred Qualifications

• Bilingual English and Spanish

Soft Skills:

•  Must be flexible and able to commit to department goals, including overtime and/or shift changes as needed
• Ability to contribute to the organization’s efforts to eliminate racial and ethnic disparities in organizational performance
• Superior oral, written and interpersonal skills required
• Strong face-to-face customer service, listening, verbal and written communication, problem solving, and critical thinking skills required.
• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work
• Excellent interpersonal and problem-solving skills
• Attention to detail, as observed in day-to-day work
• Excellent time management and prioritization skills
• Ability to maintain professionalism and a positive service attitude at all times
• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn
• Strong team player and team building skills
• Able to handle sensitive issues with members and providers in a confidential manner
• Demonstrates initiative in achieving individual, team, and organizational goals and objectives
• Creative problem-solving skills with the ability to use community and network resources to meet members' needs

Nevada Residents Only: The hourly range for Nevada residents is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

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