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in Jacksonville, FL

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Hours Full-time, Part-time
Location Jacksonville, FL
Jacksonville, Florida

About this job




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.
Primary Responsibilities:
Manage administrative intake of members or the admission/discharge information post notification Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providersManage the referrals process, processing incoming and
outgoing referrals, and prior authorizations, including intake,
notification and census rolesReceive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage.Review requests for adverse determination, approval notification and processing notification requirementsAssist the clinical staff with setting up documents/triage cases for Clinical Coverage ReviewHandle resolution/inquiries from members and/or providers that may include: Benefit and Eligibility informationBilling and Payment issuesCustomer material requestsPhysician assignmentsAuthorization for treatmentExplanation of Benefits (EOB)Verifying appropriate ICD-9 and CPT coding usage

Requirements

Required Qualifications: High School Diploma or GED 1+ years of Customer Service experience Ability to create, edit, save and send documents utilizing Microsoft Word and Excel Ability to navigate a PC to open applications, send emails, and conduct data entry Available to work an ON-CALL schedulePreferred Qualifications: 1+ years of Healthcare experience 1+ years of Healthcare Insurance experiencePharmacy Technician experienceCareers with AxelaCare. Discover a health services career that encourages your professional growth while delivering steadfast commitment to exceptional patient care. That's what you discover at AxelaCare. We were founded by a close group of medical professionals in Lenexa, KS to provide patient-focused, state of the art home infusion services for acute, hemophilia and Intravenous Immune Globulin (IVIG) therapies. Today we collaborate with leading doctors to develop breakthrough technologies for patient outcomes assessment; and we recently joined Optum, part of the UnitedHealth Group family of companies. It all reinforces our commitment to empowering people in the pursuit and delivery of exceptional patient care, and creating personalized career paths to discovering your life's best work.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.