Intake Operations Support Specialist - Infusion Therapy

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 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

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 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

Preferred Qualifications

• 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

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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