Clinical Administration Coordinator - Port Richey, FL at Optum summary: The Clinical Administration Coordinator manages administrative intake and coordination of member services, working closely with hospitals, clinics, and clinical teams to process referrals and prior authorizations. They assist clinical staff with documentation and case triage while handling inquiries from members and providers to support health care delivery. This role requires customer service experience and familiarity with healthcare settings to improve health outcomes and operational efficiency. Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to startCaring. Connecting. Growing together.Schedule: Monday to Friday, 8 AM- 5 PMLocation: Onsite -8501 Little Rd, New Port Richey, FL 34654Primary Responsibilities:Managing administrative intake of membersWork with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providersProcess incoming and outgoing referrals, and prior authorizations, including intake, notification and census rolesAssist the clinical staff with setting up documents/triage cases for Clinical Coverage ReviewHandle resolution/inquiries from members and/or providersOther duties as assignedRequired Qualifications:High School Diploma/GED (or higher)2+ years of customer service experienceBeginner level of proficiency with Microsoft Word, Microsoft Excel and Microsoft OutlookAbility to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm ESTMust be 18 years of age OR olderPreferred Qualifications:Experience working within the health care industry and with health care insuranceExperience working in a hospital, physician's office or medical clinic settingClerical or administrative support backgroundKnowledge of ICD-9 and CPT codesPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.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.UnitedHealth Group 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #RED

Keywords: clinical administration, member services, healthcare coordination, referral processing, prior authorization, healthcare customer service, medical records, case triage, healthcare support, documentation management