Clinical Administration Coordinator | Bangalore, Karnataka, India
Experience Required: 6+ months in international voice process | Education: Any degree
Job Category: Medical & Clinical Operations | Employment Type: Full-Time | Shift: Night
Company Overview
Optum, a global health services and technology leader, empowers millions of people worldwide to live healthier lives. Our teams connect individuals to care, pharmacy benefits, and essential health resources, while leveraging data-driven insights to optimize health outcomes. At Optum, employees thrive in a culture of inclusion, collaboration, and professional development, making a tangible impact on global communities.
Role Overview
The Clinical Administration Coordinator manages inbound communications from healthcare providers regarding medical claims review, denial explanations, and claims status updates. This role ensures accurate, compliant, and provider-friendly guidance on next steps for issue resolution. The position operates in close coordination with global teams across the USA, Puerto Rico, and the Philippines, maintaining high service quality and adherence to standardized processes.
Key Responsibilities
Handle incoming calls from healthcare providers efficiently and professionally.
Review denial reasons per internal claims review guidelines and provide actionable guidance.
Ensure timely and accurate resolution of provider inquiries while maintaining compliance standards.
Collaborate with multi-site global teams to achieve consistent process execution.
Follow company policies, directives, and work protocols, including alternative work arrangements and team or location reassignment as required.
Maintain up-to-date knowledge of company procedures, policies, and compliance requirements.
Candidate Profile
Education & Experience:
Any degree.
Minimum 6 months of experience in an international voice process or healthcare call center environment.
Skills & Competencies:
Excellent verbal and written communication skills.
Strong problem-solving and analytical capabilities.
Ability to work effectively in night shifts.
Adaptable to a fast-changing work environment with multiple stakeholders.
Familiarity with healthcare claims, provider interactions, and medical administration processes is advantageous.
Work Environment:
Night shift, full-time role based in Bangalore, India.
No travel required.
Regular employee status with Optum.
Why Join Optum?
Be part of a mission-driven global organization improving health outcomes.
Collaborate across international teams and gain exposure to best-in-class healthcare operations.
Access professional development and career growth opportunities.
Contribute to equitable healthcare delivery and support for underserved populations.
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