Clinical
Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.SM
If you are located within the state of Hawaii, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care and a deliver seamless experience, and manage health care costs.
The National Letter Team is part of Enterprise Clinical Services and together with our colleagues we are focused on providing an interconnected set of solutions that will drive more personalized care, stronger member and consumer engagement, and better access to our providers. We are putting the member at the center of all we do, ensuring our processes all work toward improving patient and provider experience, and better health outcomes and lower cost of care. We have a relentless passion for enabling seamless transitions of care and service for people across many access points in the health system.
There’s an energy and excitement here. We share a mission to improve the lives of others. The environment is challenging and fast-paced, requiring flexibility and a willingness to adapt in the face of change. We are looking for colleagues who are energized to breakthrough barrier, to put forth ideas and solutions, to disrupt the way we have always done things.
The Clinical Administrative Coordinator (CAC) is a multi-faceted role within Clinical Advocacy & Support that encompasses different levels of administrative support. The Clinical Administrative Coordinator serves as a bridge, allowing for a seamless transition for members and providers moving through the continuum of care. This role can include initial triage of members for possible transition to clinical staff, managing admission and discharge census information, serving as a point of contact for facilities and clinical teams, telephonic engagement with our members and providers, providing information on available network services, managing the referral process to connect members with all available resources, management of prior authorizations, and generation of written determination notifications.
The National Letter Team Letter Coordinator is responsible for drafting Notice of Action (NOA) and Notice of Extension (NOE) letters for government and commercial specific clients that adhere to the state and federal regulatory requirements. The Letter Coordinator also completes outbound calls to client-specific customers requesting the return of specific letters.
You will work on of the following shifts:
Shift 1: Friday 1-5 HI, Saturday 8-5 HI, Sunday 8-5 HI
Shift 2: Saturday 8-5 HI,, Sunday 8-5 HI,, Monday 8-12 HI
*There is a shift differential of 15% for Sat and Sun shifts
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Drafts NOA and NOE letters for government and commercial specific clients.
Makes outbound calls to client specific customers to initiate letter retrieval.
Adherence to client, regulatory and accreditation requirements for letter documentation.
Demonstrate product knowledge by identifying the appropriate letter template based on the services and action within the case.
Consistently meet established productivity, adherence, and quality standards.
Other duties as assigned by manager and/or director.
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)
1+ years of professional experience in an office / customer service environment
Healthcare experience
MUST be available to work 20 hours a week, one of the following shifts:
Shift 1: Friday 1-5 HI , Saturday 8-5 HI, Sunday 8-5 HI
Shift 2: Saturday 8-5 HI,, Sunday 8-5 HI,, Monday 8-12 HI
Experience working with Microsoft Outlook, Microsoft Word, and Microsoft Excel (ability to create, edit, save and send emails, documents and spreadsheets)
Computer experience including, but not limited to, ability to learn new computer system applications
Flexibility to work outside standard hours of operations due to changing business needs
Telecommuting Requirements:
Must live in state of Hawaii
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
Professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties OR customer service experience analyzing and solving customer problems
Experience working within a Hospital, Physician’s Office, or Medical Clinical setting, Medical Terminology, ICD – 10 and CPT codes, Medicare and / or Medicaid Services, Call Center environment
Professional experience in a Clerical or Administrative support related role
Bilingual fluency in English and Spanish
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military
Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet
Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world’s large accumulation of health – related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.