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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Home Health Intake Specialist is an entry level position primarily responsible for verification of eligibility/benefits, submission of authorization, and data entry into HME/Home Health systems. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and ensures information is communicated to pharmacy, clinical team managers (CTM), respiratory, and home medical equipment personnel (HME). Enters and assure all date entry of patient information in detail is entered accurately into the HME/Home Health systems. Performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care

Schedule : Monday through Friday, 9:00am-6:00pm with rotating on call shifts after 90 days of employment

Location : 12459 Network Blvd. Building 3, San Antonio, TX 78249

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 Kinser 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 at-home, on-call rotation after 90 days

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

• Medical Plan options along with participation in a Health Spending Account or a Health Saving account

• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

• 401(k) Savings Plan, Employee Stock Purchase Plan

• Education Reimbursement

• Employee Discounts

• Employee Assistance Program

• Employee Referral Bonus Program

• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

• More information can be downloaded at: http://uhg.hr/uhgbenefits

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/GED (or higher)

• 1+ years of customer service experience while providing empathy and the ability to resolve the needs of the caller

• Ability to multitask and handle high volume of incoming referrals/calls

Preferred Qualifications:

• Background as a Medical Assistant, Phlebotomy Technician, Unit Clerks, Pharmacy Technicians, or Nurse Aide experience

• Bilingual (English/Spanish)

• Efficient in 10 key and data entry

• Intermediate knowledge in Excel/Word

• 6+ months of clear understanding of medical terminology and ICD10 coding

Soft Skills:

• Must be able to understand and communicate effectively through physician written orders

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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, 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.

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

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