About The Company
Optum, a part of UnitedHealth Group, is a global organization committed to transforming health care through innovative technology and compassionate care. With a focus on improving health outcomes, Optum delivers a wide range of services including care management, pharmacy benefits, data analytics, and health solutions. Operating across various regions, including the Pacific West, Optum is dedicated to redefining health care by emphasizing health equity, affordability, quality, and convenience. The organization serves over 2.5 million patients, working tirelessly to make health care more accessible, efficient, and patient-centered. Optum fosters an inclusive culture that values talented professionals, comprehensive benefits, and opportunities for career growth. The company’s mission is to help people live healthier lives and make the health system work better for everyone, regardless of background or circumstance.
About The Role
The Clinical Administrative Coordinator role is a vital position within Optum’s Pacific West region, primarily responsible for providing administrative and clerical support to ensure the smooth operation of clinical services. This full-time position is remote, offering the flexibility to telecommute from anywhere within the United States. The coordinator will handle a variety of tasks including scheduling, data entry, referral processing, and member communication, all while maintaining strict confidentiality in accordance with HIPAA standards. The role requires excellent communication skills, attention to detail, and the ability to coordinate effectively with providers, members, and internal teams. The position involves supporting clinical review processes, processing referrals for medical equipment and services, and assisting with insurance verification and member concerns. The coordinator plays a key role in ensuring timely and accurate documentation, supporting clinical staff, and enhancing the overall patient experience. This position offers comprehensive training, opportunities for professional development, and the chance to contribute meaningfully to improving health outcomes across diverse communities.
Qualifications
UnitedHealth Group is an Equal Employment Opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are valued and respected. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, gender, sexual orientation, gender identity, disability, veteran status, or any other characteristic protected by law. We promote a culture of equity and are dedicated to providing opportunities for all individuals to grow and succeed within our organization.
Optum, a part of UnitedHealth Group, is a global organization committed to transforming health care through innovative technology and compassionate care. With a focus on improving health outcomes, Optum delivers a wide range of services including care management, pharmacy benefits, data analytics, and health solutions. Operating across various regions, including the Pacific West, Optum is dedicated to redefining health care by emphasizing health equity, affordability, quality, and convenience. The organization serves over 2.5 million patients, working tirelessly to make health care more accessible, efficient, and patient-centered. Optum fosters an inclusive culture that values talented professionals, comprehensive benefits, and opportunities for career growth. The company’s mission is to help people live healthier lives and make the health system work better for everyone, regardless of background or circumstance.
About The Role
The Clinical Administrative Coordinator role is a vital position within Optum’s Pacific West region, primarily responsible for providing administrative and clerical support to ensure the smooth operation of clinical services. This full-time position is remote, offering the flexibility to telecommute from anywhere within the United States. The coordinator will handle a variety of tasks including scheduling, data entry, referral processing, and member communication, all while maintaining strict confidentiality in accordance with HIPAA standards. The role requires excellent communication skills, attention to detail, and the ability to coordinate effectively with providers, members, and internal teams. The position involves supporting clinical review processes, processing referrals for medical equipment and services, and assisting with insurance verification and member concerns. The coordinator plays a key role in ensuring timely and accurate documentation, supporting clinical staff, and enhancing the overall patient experience. This position offers comprehensive training, opportunities for professional development, and the chance to contribute meaningfully to improving health outcomes across diverse communities.
Qualifications
- High School Diploma / GED or equivalent work experience
- Must be 18 years of age or older
- At least 1+ year of experience in front office, back office, coordinator, insurance, or medical group settings
- Ability to work a swing shift between 3:00 pm and 11:30 pm PST, including weekends and occasional overtime
- Strong communication and organizational skills
- Proficiency in maintaining confidentiality and handling sensitive information
- 2+ years of office experience within the healthcare industry at the corporate level
- 1+ year of experience in insurance eligibility and benefits verification
- Intermediate proficiency with Microsoft Office Suite (Word, Excel, Outlook)
- Experience working remotely and maintaining a dedicated, secure workspace
- Provide exceptional customer service through effective communication with internal and external stakeholders
- Perform prospective and concurrent review of requested healthcare services according to established guidelines and timeframes
- Document members’ service benefits by liaising with health plans and updating records accordingly
- Direct members and providers to contracted networks and facilities as appropriate
- Process authorizations for HMO/PPO clients, ensuring accurate coding and benefit verification
- Enter, update, and close referrals daily, ensuring all clinical and administrative data is accurate and complete
- Coordinate referrals for durable medical equipment and home health services in compliance with policies
- Route referrals requiring review to licensed Care Management staff for further assessment
- Assist with resolving issues and responding to requests from staff, providers, and members in a timely manner
- Support member concerns by collaborating with Patient Services and other departments
- Process inter-facility transfer referrals following established protocols
- Manage urgent care logs and after-hours emergency referrals as needed
- Prepare and collect medical records for review or audit purposes
- Answer telephones, maintain files, logs, and reports to ensure operational efficiency
- Adhere to HIPAA regulations, ensuring the confidentiality and security of protected health information (PHI)
- Assist with insurance verification and benefits checks to support member eligibility
- Participate in interdisciplinary rounds and team meetings to support integrated care delivery
- Comprehensive health, dental, and vision insurance plans
- Paid time off and holiday leave
- 401(k) retirement savings plan with company contributions
- Paid training and ongoing professional development opportunities
- Flexible telecommuting environment with secure work setup
- Performance recognition and incentive programs
- Access to a wide range of wellness resources and support programs
UnitedHealth Group is an Equal Employment Opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are valued and respected. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, gender, sexual orientation, gender identity, disability, veteran status, or any other characteristic protected by law. We promote a culture of equity and are dedicated to providing opportunities for all individuals to grow and succeed within our organization.