Clinical Administrative Coordinator
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Position Description:
Positions in this function are responsible for supporting both clinical and administrative Inpatient and Secondary Level of Care Clinical Services staff with regard to letter generation for the Northeast region. The NE Letter Generation Team is a high volume letter generation unit responsible for meeting stringent regulatory guidelines for written notification of benefit determinations to members, physicians, and facilities.
Primary Responsibilities:
- High volume letter generation/production to support the NE Clinical Services Dept.
- Plan, prioritize, organize, and complete work within regulatory/compliance guidelines for written communication
- Ability to work and complete assignments independently with minimal supervision
- Ability to proofread/examine documents to identify grammatical issues/errors and clearly communicate with internal staff to correct.
- Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
- Ability to remain focused and productive each day though tasks may be repetitive
- Ability to cross-cover other team members and work within a shared caseload environment (centralized work queues)
The IPC in this role will prioritize and complete all requests to generate clinical decision letters under the direction of the ICM and Medical Director. This candidate needs to be familiar with regulatory requirements including complying with regulatory timeframes. The candidate will also demonstrate critical thinking and decision making skills.
UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:
UnitedHealthcare Employer Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.
UnitedHealthcare Medicare Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.
UnitedHealthcare Community State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.
Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.
Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.