Prior Authorization Coordinator - Lenexa, KS - Full-time / Part-time

Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Prior Authorization Coordinators who share our passion for helping others live healthier lives. As one of the world's leading health care companies, UnitedHealth Group is pursuing innovative new ways to operate our service centers and improve on our ability to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Take this opportunity and begin doing your life's best work.(sm)What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Responsible for intake of initial patient referrals, insurance benefits verification and coordination of new admissions with nursing and pharmacy staff. Benefit Coordinators are also responsible for preparing and managing paperwork and documentation for billing and collections.Primary Responsibilities:Obtain prior authorization or pre-certification of services to be rendered as required by each individual payorAnswer incoming telephone calls and triage to appropriate personnel as indicatedComplete and manage all paperwork or supportive documentation required for performing effective billingRe-verify patient eligibility, monitor insurance lifetime caps and prior authorization periodsResolve patient / payor issues in a timely mannerWork with Managed Care to identify contracting opportunitiesParticipate in Departmental, Clinical and Company meetings as requestedDemonstrates interpersonal skills among co-workers, internal departments, and referral sourcesParticipate in required Quality Improvement Program including, but not limited to in-services and educational programsFollow Current Referral Intake Process FlowMay assist with training of other team members, as neededAny other duties as assigned

Required Qualifications:HS Diploma/GED1+ year of experience working in an office setting using the telephone and computer as the primary instruments to perform job dutiesExperience using a computer and Microsoft Office (Word, Excel, and Outlook)            Prior authorization knowledge/experienceAbility to maintain confidentiality and adhere to HIPAA requirementsComfortable working Monday-Friday from 8am-5pm with possible OT and Saturdays as neededPreferred Qualifications:Home infusion, DME, or Pharmacy experienceIntake / Insurance experience Experience with Medicaid and MedicareMedical billing or coding experience Careers 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.(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:  Authorization Coordinator, Intake, Insurance, Medicare, Medicaid, Lenexa, KS, Kansas