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Medical Support Coordinator
2 weeks ago
UnitedHealth Group is a global organization dedicated to delivering care and improving health outcomes for millions of people worldwide. Our team works closely with healthcare professionals to ensure that individuals receive the support they need to live healthier lives.
Job Summary:We are seeking an experienced Clinical Triage Specialist to join our team. As a Clinical Triage Specialist, you will be responsible for managing the intake of members or admission/discharge information post-notification. You will work closely with hospitals, clinics, and facilities to manage requests for services from members and/or providers.
Main Responsibilities:- Triage and Care Coordination: Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention.
- Referral Management: Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles.
- Communication: Handle resolution/inquiries from members and/or providers.
- Adaptability: Work on simple tasks using established procedures and depend on others for guidance.
This is a high-volume customer service environment requiring efficiency, productivity, and thoroughness when dealing with members over the phone. A flexible schedule, including evening hours, is necessary.
