Associate Clinical Administrative Coordinator - Remote in Irving, TX

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer on-the-job training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

If you are located within a commutable distance to the office at 909 Hidden Ridge, Suite 300, Irving, TX 75038, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Manage the internal/ external referral process and daily referral reconciliation gathering required information and documents needed, working them accordingly in compliance with established timelines
• Answers telephone and assists caller through the phone queue with scheduling and other needs based on the call type
• Participate in clinic and market education, training, and meetings as needed and/or required
• Maintains knowledge and ensures procedures are followed including referral guidelines and policies, privacy, and confidentiality
• Deliver quality customer service, managing the referral process professionally and in a timely manner maintaining professionalism and a positive attitude with all internal and external customers/peers
• Ability to work independently
• Obtain and update prior authorizations and referral authorizations for both internal and external specialty offices
• Being a patient advocate for quality healthcare in external facilities, maintaining the strictest confidentiality
• Retain and utilize knowledge of insurance policies and procedures
• Performs all other related duties as assigned

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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
• Must be 18 years of age OR older
• 1+ years of experience in healthcare
• Knowledge of medical terminology
• Proficiency in Microsoft Office applications including Microsoft Excel, Microsoft Word and Microsoft Outlook
• Customer Service skills
• Effective verbal and written communication skills
• Detail oriented with organizational and time management skills
• Ability to navigate through multiple software and computer technology
• Ability to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm, including the flexibility to work occasional overtime or weekends, based on the business need

Preferred Qualifications:

• Bilingual fluency in English and Spanish
• 1+ years of Referral Management experience
• 1+ years of Medical Insurance experience
• 1+ years of Customer Service experience

Telecommuting Requirements:

• Reside within a commutable distance to our office location at 909 Hidden Ridge, Suite 300, Irving, TX 75038
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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