Intake Operations Support Specialist - Infusion Therapy

UnitedHealth Group•Oklahoma City, OK

18h•$18 - $32•Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 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. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

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

Nice To Haves

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

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