Overview
Clinical Administrative Coordinator/Star Plus – Remote – Texas Jobs in Sugar Land, TX at UnitedHealthcare
Full Job Description
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 to startCaring. Connecting. Growing together.
Like you, UnitedHealth Group is solid on innovation. And like you, we’ll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. Bring your skills and talents to a role where you’ll have a chance to make an impact.
TheClinical Administrative Coordinatorwill be responsible for assisting with the timeliness of document submission while working as a liaison with state regional offices. This role is critical in providing essential support to the Clinical Service Coordination team.
If you are located within Harris County, TX or within state of Texas, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Maintain 100% adherence to State contract, CMS requirements, and Product & Program Requirements
100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables
Monitor the timely receipt and accuracy of State assessments received from Service Coordinators while demonstrating compliance to ensure that all internal and State deadlines are met
Act as an advocate for our membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed
Proactively seek the root cause of member and provider issues and promptly communicate with all appropriate business segments of identified issues and potential solutions
Document saving and uploading in electronic records
Providing essential administrative support to Service Coordinators as a member of the Service Coordination team through spirit of collaboration to ensure efficiency in all administrative areas
Contact members regarding service delivery
Contact providers as needed for service referrals
Track work in SharePoint or other forms
Identify and champion opportunities and support colleagues in the pursuit of increasing Quality, Accuracy, Value, Affordability, and Timeliness
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)
2+ years of Clerical or Administrative work experience
2+ years of experience using the telephone and computer as primary instruments to perform job duties
Intermediate (or higher) level of proficiency with Microsoft Office applications (Excel, Word, Teams and Outlook)
Ability to keep all company sensitive documents secure
Dedicated work area established that is separated from other living areas that provides information privacy
Reside in a location that can receive a high-speed internet connection (additional information on UnitedHeal…
Title: Clinical Administrative Coordinator/Star Plus – Remote – Texas
Company: UnitedHealthcare
Location: Sugar Land, TX
Category:
