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Hours Full-time, Part-time
Location Dallas, TX
Dallas, Texas

About this job

Position Description:
Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.

This position requires a highly motivated and self-directed individual with excellent organization and customer service skills. Some specific duties include but are not limited to:


Manage pending referrals 
Checking for insurance authorization 
Contacting MD offices for required documents/ MD signatures 
Updating patients and MD offices regarding pending referrals 
Assisting with obtaining any info/documents for the insurance verification process 
Interview/intake process with patients 
Data entry 
Financial discussions with patients including hardship process 
Ordering medication, informing patient of med order 
Providing all necessary info/documentation for the home care site for start of care

Requirements

Required Qualifications:


High School Diploma/GED
Comfortable working Monday-Friday between hours of 8:30am-5pm with weekends and holidays as needed
2+ years of customer service analyzing and solving customer problems 
Experience using a computer, MS Word, MS Excel, and MS Outlook
Able to navigate a PC to open applications, send emails, and conduct data entry
Preferred Qualifications:


Experience working within the Healthcare Industry
Experience working in a Hospital, Physician's Office, or Medical Clinical setting
Experience in a clerical or administrative support related role
Experience working with ICD-9 and CPT codes
Experience working with Medicare and/or Medicaid Services
Experience working in a call center environment
Knowledge of Medical Terminology to communicate with members and providersAre you ready for an opportunity that can transform your career? Get on the Alere Health team as we continue to transform health care every day.
Now part of Optum, Alere Health is building a future of opportunities. We provide leading edge products and services including condition and case management, wellbeing, and women's and children's health services for more than 200 health plans, 89 Fortune 500 employers, 29 states and 22 million people. Now, with our integration into Optum and the UnitedHealth Group organization, our growth and impact is multiplying every day.
If you bring a lot of passion and aspiration to your work, you'll fit in here and discover the opportunity to do your life's best work.SM
Diversity creates a healthier atmosphere: 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.