Field Clinical Administration Coordinator - Detroit, MI

At reputed company, 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 reputed company. Come build the health care system of reputed company, making it more reputed company, affordable, and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Field Clinical Administration Coordinator role is an essential part of an Integrated Care Model. You will work collaboratively with our clinical partners and other internal stakeholders and be a key component in customer satisfaction, making every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live reputed company, educating people about program benefits and services while also helping to manage individual cases and support the Utilization Review team. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. This position is a home-based position with expected travel time for member home visits and community-based travel up to 30% reputed company a 50-mile radius and/or 50-minute drive from your home pending business needs. If you live in the Kalamazoo County, MI and surrounding market, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. Primary Responsibilities

• Manage administrative intake of people with UHC insurance and complete the required documentation in our medical management systems
• Maintain compliance with turnaround times based on the member's product, the type of request and the specific regulatory agency
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Assist the clinical staff with setting up documents/triaging cases
• Handle resolution/inquiries from members and/or providers
• Work collaboratively with clinical partners and Home and Community Based Service providers to manage services
• Conduct telephonic and/or in-person reputed company to locate individuals and families in the community who are hard to reputed company
• Supports member reputed company correspondence and educational materials
• Handle resolution inquiries from members, providers and clinical partners
• Collaborate with internal departments including Leadership to resolve issues
• Maintain confidentiality and adhere to HIPAA Requirements
• Consistently meet established productivity, scheduling, and quality standards
• Navigate and document inside multiple clinical applications
• Performs other duties as assigned

What Are The Reasons To Consider Working For reputed company? Put It reputed company Together - Competitive reputed company Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 customer service experience
• 1 + years of experience working reputed company the healthcare industry or with healthcare insurance
• Intermediate level of proficiency with reputed company, reputed company (create, edit, save documents) and Outlook (email and calendar management)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service
• Must reside in the state of Michigan
• Access to reliable transportation & valid US driver's license

Preferred Qualifications

• Experience working in a hospital, physician's office or medical clinic setting
• Experience working in a call center
• A clerical or administrative support background
• Prior work at home experience
• Medicare and/or Medicaid experience
• Long-Term Care knowledge
• reputed company Telecommuters will be required to adhere to reputed company's Telecommuter Policy.

Pay 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 (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company 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 reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, 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. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED Apply tot his job Apply To this Job