Intake Specialist - San Antonio, TX - 12500 Network Boulevard

The Intake Specialist is responsible for verification and authorization of insurance benefits. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and insures information is communicated to pharmacy, clinical team managers, respiratory and home medical equipment.
 
Primary Responsibilities:

Collects and records initial client information to include type of referral, type of insurance, and patient demographics
Requests the referral source fax orders on all patients. Verifies client benefits
Notifies pharmacy, nursing, RT, and HME when verification complete
Coordinates with HME to insure availability of requested supplies or equipment
Obtains authorization for skilled nursing visits, DME, medications, and shift care If authorization is denied, communicates with clinician to obtain additional information so authorization will be approved
Notifies nursing, CTM, pharmacy, RT and HME when authorization is approved
Processes Tl 9's for Medicaid patients by obtaining Tl 9 from physicians, faxing Tl 9 to Medicaid  within 72 hours, and tracking Tl 9 to ensure authorization is   complete
If care is not authorized upon initial submission of T19, contacts Medicaid to clarify information necessary for authorization
Enters information in Brightree and Kinser Systems
Completes assignment of benefits
Authorizes all new orders as soon as they are  received
Notifies clinician if initial justification is necessary for reauthorization
Expresses verbal and written communication in a clear, positive and cooperative manner

Required Qualifications:

Highly developed customer service and organizational skills
Accredited high school diploma or GED
Excellent computer skills including the ability to type a minimum of 25 WPM 
1+ years in an office setting
1+ years customer service
Preferred Qualifications:

Bilingual (Spanish)
Medicare local coverage criteria (LCD)
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team 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.
 
 
Job Keywords: intake, specialist, San Antonio, Texas, TX