WellMed Intake Specialist San Antonio

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

Clinical

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

**AFTER 90 DAYS OF EMPLOYMENT, A TELECOMMUTE SITUATION WILL BE DISCUSSED**

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

The Intake Specialist is responsible for verification and authorization of insurance benefits. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and insures information is communicated to pharmacy, clinical team managers, respiratory and home medical equipment.

Primary Responsibilities:
  • Collects and records initial client information to include type of referral, type of insurance, and patient demographics
  • Requests the referral source fax orders on all patients. Verifies client benefits
  • Notifies pharmacy, nursing, RT, and HME when verification complete
  • Coordinates with HME to insure availability of requested supplies or equipment
  • Obtains authorization for skilled nursing visits, DME, medications, and shift care If authorization is denied, communicates with clinician to obtain additional information so authorization will be approved
  • Notifies nursing, CTM, pharmacy, RT and HME when authorization is approved
  • Processes Tl 9's for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid within 72 hours, and tracking Tl 9 to ensure authorization is complete
  • If care is not authorized upon initial submission of T19, contacts Medicaid to clarify information necessary for authorization
  • Enters information in Brightree and Kinnser Systems
  • Completes assignment of benefits
  • Authorizes all new orders as soon as they are received
  • Notifies clinician if initial justification is necessary for reauthorization
  • Expresses verbal and written communication in a clear, positive and cooperative manner
  • There will be an on-call rotation after 90 days
  • Excellent benefits after 30 days include health insurance, paid time off, paid holidays, 401K with a match, annual bonus potential, annual reviews and much more!

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 or GED
  • 1+ years of experience in an office setting
  • 1+ years of experience customer service
  • Highly developed customer service and organizational skills
  • Excellent computer skills including the ability to type a minimum of 25 WPM
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:
  • Bilingual (Spanish)
  • Medicare local coverage criteria (LCD)

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: WellMed Intake Specialist, Intake Specialist, DME, Durable Medical Equipment, Intake, Clinical Intake, San Antonio, Texas, TX

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