[Hiring] Patient Access Intake Specialist @UnitedHealth Group

Role Description

The Patient Access 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.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

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
• Assists clients and staff with referral questions when needed

Qualifications

• High School Diploma or GED equivalent
• 2+ years of experience in infusion therapy, specialty pharmacy, or a related healthcare service (e.g., benefit verification, prior authorization, or patient access)
• Proven experience 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
• Demonstrated 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
• Demonstrated ability to work independently in a remote setting while adhering to productivity and quality standards

Requirements

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

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 $16 - $29 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.