Behavioral Intake Counselor - Atlanta,GA

Position Description:Energize your career with one of Healthcare’s fastest growing companies.   You
dream of a great career with a great company - where you can make an
impact and help people.  We dream of giving you the opportunity to do
just this.  And with the incredible growth of our business, it’s a dream
that definitely can come true. Already one of the world’s leading
Healthcare companies, UnitedHealth Group is restlessly pursuing new ways
to operate our Service Centers, improve our Service levels and help
people lead healthier lives. We live for the opportunity to make a
difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader. Optum helps
nearly 60 million Americans live their lives to the fullest by
educating them about their symptoms, conditions, and treatments; helping
them to navigate the system, finance their Healthcare needs, and stay
on track with their Health goals. No other business touches so many
lives in such a positive way. And we do it all with every action focused
on our shared values of Integrity, Compassion, Relationships,
Innovation, and Performance.Positions
in this function are responsible for telephone intakes, determining
member eligibility and benefits, makes appropriate referrals, initial
triage and counseling of members.Primary Responsibilities: Initial Behavioral Health triage of members in a Call Center environmentAnalyze and investigate members' questionsProvide explanations and interpretations of benefits/coverage, benefit authorizations, treatment plan processing and assistance in finding behavioral health servicesConducts telephone intakes and assesses callers for risk factors to ensure caller's safety and to triage urgent cases, process requests for counseling.Completes intake process by informing client and counselor of counseling or assessment authorization.Arranges assessment appointments in urgent cases, follow up with caller or clinician to ascertain safety of caller.Review and research assigned claims by navigating multiple computer systems and platforms and accurately capturing the data/information necessary for processing (e.g. verify pricing, prior authorizations, applicable benefits)Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/ certificates)Communicate and collaborate with members and providers to resolve claims errors/issues, using clear, simple language to ensure understandingFollows appropriate eligibility procedures.Consults with licensed care managers or licensed supervisor as needed.Quotes and explains benefits to members and providers of care. Covers the emergency line as required.Creates and maintains appropriate records.Review, analyze and assist members with claims inquiresReceives and triages calls for management referrals and Critical Incidence Stress Debriefings/Trainings and tracks chemical dependency cases in aftercare; assesses relapse risk.Participates as directed in the Quality Assurance Program.Training & Experience:Masters level education in Psychology, Counseling, Social Work, or Marriage, Family, and Child Counseling.Knowledge
of contemporary assessment and treatment modalities in the areas of
chemical dependency and mental health. Minimum two years supervised
experience with telephone intakes and/or direct services working in the
areas of mental health and chemical dependency.Positions
in this function are responsible for initial triage and counseling of
members. Employees in this function require a Masters Degree in
Counseling, Psychology, or Social Work.

Required Qualifications:Master's Degree in the Behavioral Health field (Counseling, Psychology, Social Work or Human Services).Experience in the Behavioral Health field (Counseling, Psychology, Social Work and/or Human Services).Previous experience utilizing Microsoft Office in a professional setting.Preferred Qualifications:Experience in a Call Center environment.Customer Service experience.Medical Insurance Claims experience.Careers with Optum.
Here's the idea. We built an entire organization around one giant
objective; make the health system work better for everyone. So when it
comes to how we use the world's large accumulation of health-related
information, or guide health and lifestyle choices or manage pharmacy
benefits for millions, our first goal is to leap beyond the status quo
and uncover new ways to serve. Optum, part of the UnitedHealth Group
family of businesses, brings together some of the greatest minds and
most advanced ideas on where health care has to go in order to reach its
fullest potential. For you, that means working on high performance
teams against sophisticated challenges that matter. Optum, incredible
ideas in one incredible company and a singular opportunity to do your life's best work.SM
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.