Clinical Administration Coordinator
Location: Bangalore, Karnataka, India
Category: Medical & Clinical Operations
Employment Type: Full-Time
Business Segment: Optum
Requisition Number: 2312201
Overview
Optum, a leading global healthcare organization, is seeking a Clinical Administration Coordinator to support its medical and clinical operations teams. This role plays a key part in managing inbound inquiries from healthcare providers regarding medical claim reviews, denials, and status updates. The position requires strong communication skills, customer handling expertise, and a commitment to accuracy and compliance.
This opportunity offers exposure to international operations and collaboration with teams across the United States, Puerto Rico, and the Philippines. The role is designed for individuals looking to grow within a structured and high-performing healthcare process environment.
Role Summary
The Clinical Administration Coordinator (Inbound Support Associate) is responsible for addressing provider queries related to claim reviews, denial reasons, and resolution steps. The role ensures timely and accurate communication, adherence to compliance standards, and a positive provider experience.
Key Responsibilities
Inbound Claims Support
Handle incoming calls from healthcare providers addressing medical claim review inquiries.
Provide clear explanations for claim denials as defined by the internal review teams.
Offer accurate, compliant, and provider-friendly guidance on next steps to resolve claim issues.
Maintain updated knowledge of internal processes and denial categories.
Operational Excellence
Ensure consistency in service delivery across multiple global locations.
Adhere to compliance standards and maintain high-quality communication.
Follow internal protocols with attention to accuracy, professionalism, and efficiency.
Collaborate closely with teams in the USA, Puerto Rico, and the Philippines to maintain process alignment.
Organizational Compliance
Comply with all company policies, procedures, employment terms, and operational directives.
Adapt to changes in work assignments, locations, shifts, and environmental policies as required by business needs.
Required Qualifications
Any bachelor's degree.
Minimum 6+ months of experience in an international voice process.
Strong communication skills and ability to handle high-volume inbound calls.
Ability to maintain professionalism, attention to detail, and customer-oriented service.
Work Environment & Additional Information
Schedule: Full-time
Shift: Night shift
Employee Status: Regular
Telecommute: No
Travel: No
Overtime Status: Exempt
Country: India
Why Join Optum?
Work with a global leader in healthcare operations and provider support.
Opportunity to contribute to improved healthcare outcomes through accurate claims communication.
Access to continuous development, training, and career advancement pathways.
Inclusive culture focused on employee well-being and professional growth.
How to Apply
Interested candidates may submit their application through the official Optum careers portal.
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