UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Clinical Administration Coordinator - Las Vegas, NV-313518
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Clinical Administrative Coordinator - Las Vegas, NV
Primary Responsibilities:
- 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, 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.
- 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; appropriately route cases to RN for clinical review; 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
- Problem solves routine to complex issues related to durable medical equipment, home health care and orthotic/prosthetic cases
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. Qualifications Qualifications:
- Strong knowledge of Medical terminology is required.
- 1 + years experience using CPT and ICD9 coding is required.
- Typing skills 30-35 wpm is required.
- Ability to learn state and federal laws / regulations is required.
- Proficiency in MS/Office (Word, Excel & Outlook) is preferred.
- Minimum 2 + year experience in a health care facility, medical office, and hospital or managed care environment is required.
- High School graduate or GED is required.
- Bilingual (English /Spanish) is preferred.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
