[Hiring] Intake Specialist @UnitedHealth Group

Role Description

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

The Intake Specialist is responsible for receiving referrals from sources and ensuring they are processed through the intake process in a timely manner. The Intake Specialist is also responsible for obtaining the patient’s benefits, prior authorizations and/or predeterminations, as well as communicating with the patient and their families as well as the referral source to determine their needs, medical history, physical and mental state, and special requirements.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 4:30 pm MST. It may be necessary, given the business need, to work occasional overtime (possibility in January).

We offer 1 - 2 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

• Processes orders from referral sources
• Assesses patient needs upon arrival
• Responds to all phone and fax inquiries
• Verifies patient’s benefits and eligibility for requested services
• Obtains all necessary information required to process a prior authorization if applicable
• Completes all patients start of care paperwork
• Relays insurance coverage to referral source / patient and discuss financial responsibilities and any need for financial assistance
• Enter all new patients into the database
• Receives and uploads all documents received into patient’s file
• Monitors referrals and assess any of their needs
• Assist clients and staff with referral questions when needed

Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 2+ years of experience in healthcare
• 1+ years of experience with prior authorization
• Experience in working with healthcare insurance plans, including eligibility, coverage, and authorization processes
• Proficiency in Microsoft Office applications (Word, Excel, Outlook) and ability to learn new systems quickly

Preferred Qualifications

• Experience with intake of home infusion or specialty pharmacy services
• Familiarity with authorization portals (such as Availity, NaviNet, or payer-specific systems)
• Working knowledge of EMR systems such as WeInfuse, CPR+, or Epic
• Understanding of medical terminology, CPT / HCPCS, and ICD-10 codes
• Experience in coordinating with nursing agencies, field clinicians, or referral partners

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

• Solid customer service and communication skills, with the ability to support patients, families, and referral partners in a professional and compassionate manner
• Demonstrated attention to detail, organization, and ability to multitask in a fast-paced environment
• Ability to work independently in a remote setting while adhering to productivity and quality standards

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• Hourly pay for this role will range from $18 - $32 per hour based on full-time employment

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.