Optum · 1 day ago
Clinical Admin Coordinator
United States
Full-time
Remote
Entry Level
$17.98/hr - $32.12/hr
2+ years expOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Clinical Admin Coordinator will serve as the point of contact for providers and members regarding medical services, manage referral requests, and ensure coordination of care for patients. This role involves data entry, communication with multidisciplinary teams, and participation in routine meetings to support health equity and improve health outcomes.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Point of contact for providers or members regarding medical/pharmacy/clinical services or benefits
Review fax and electronic referral requests for medical or clinical services
Enter medical request data into relevant computer system
Utilize phone system to respond and transfer inbound calls transfer calls to appropriate individuals
Access electronic member files in external portal using appropriate patient identification
Review benefits and authorization requirements from the central BA team, create additional pharmacy test claims (if applicable), and patient responsibility
Participate in on call rotation with the possibility of staggering shifts
Check procedure codes against notification requirements and benefit coverage to determine next steps
Reference job aid tools via the computer to identify appropriate procedures when needed
Document, review and interpret historical documentation (e.g., MAR, H &P)
Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
Reference and follow automated job aid tools via computer to research relevant rules, regulations, or policy/procedures
Learn computer system and process changes and updates and incorporate into daily work
Participate in routine meetings with team and branch members and update the team with relevant patient information
Contact internal resources if necessary to clarify information
Identify appropriate resource (e.g., doctor, resource, contracted provider) to respond to medical requests
Provide/explain benefit information to providers and patients
Obtain verbal and written consent (PSA) to treat from patients
Collect patient pay portions upon admission to services
Communicate with multidisciplinary teams to ensure coordination is complete for the onboarding of the patient
Review and advise member/provider of status of a request (e.g., notification, authorization)
Perform patient onboarding tasks in the Cloud workflow within the approved turnaround times
Update and/or add prescribers during the onboarding process
Add other duties as assigned
Qualification
Required
High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
2+ years of experience with analyzing and solving customer problems
2+ years of experience with working in the Health Care Industry
Experience working with Health Care Insurance benefits
Ability to work any 8-hour shift between the hours of 6:00am - 7:00pm EST from Monday - Friday including the flexibility to work possible occasional overtime per business need
Preferred
Experience in a Hospital, Physician's Office, OR Medical Clinic setting
Clerical OR Administrative support background OR experience working in a Call Center environment
Experience working with Medicare and / OR Medicaid Services
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase