Position Description: OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life's best work. Responsible for intake of initial patient referrals, insurance benefits verification and coordination of new admissions with nursing and pharmacy staff. Intake Coordinators are also responsible for preparing and managing paperwork and documentation for billing and collections Primary Responsibilities: Gathers patient information accurately and completely by utilizing appropriate templates in CPR+.Verifies insurance eligibility prior to processing order.Assembles patient's electronic medical record accurately and completely and manages documents appropriately in CPR+.Process orders in a timely manner.Obtains necessary information according to Joint Commission (JCAHO) guidelines.Obtains authorization for services.Informs Clinical and Sales Teams of referrals and updates them on the status of the case.Prepares pending files by utilizing appropriate templates in CPR+.Communicates / Coordinates referrals with outside pharmacies and referral sources.Understands diversity of contracts to handle referrals accordingly.Coordinates the start of care with the patient / caregiver, referral source, and other providers of care.Coordinates time and initial delivery.Cancels pending / no-go referrals when appropriate.Directs patient contact involving: schedule and verify infusion appointments / drug shipments (if applicable), respond to nursing and / or customer service issues, patient financial, and hardships.Maintain current and accurate documentation in CPR+ / Ask AxelaCare.Documents patient related activities / information in the patient's electronic medical record.Consults with direct Manager on difficult or unusual referrals, as appropriate.Maintains confidentiality of patient and company information.Complies with all company policies and procedures.Gathers and ensures all necessary documentation for chart is obtained.Communicates effectively with Clinical Team members to assure a smooth transition from intake to start of care.Check electronic discharge websites for new referrals and updated information, as required (and where applicable).Send the initial referral email to sales-onsite to confirm receipt of the referral.Formulate and negotiate private pay pricing as per limitations set by company.Scans and appropriately label patient documents in CPR+.Performs other duties as required.Possess the initiative to plan for and complete daily activities with minimal directionsDependable in attendance and job performance.Ability to meet attendance, overtime, on-call, and other reliability requirements of the job.
Required Qualifications:High School Diploma / GEDAbility to travel up to 25% of the time within the local region1+ years of experience in home care with admissions Ability to create, copy, edit, send, and save utilizing Microsoft Word, Microsoft Excel, and Microsoft Outlook6+ months of insurance verification process experience Ability to navigate a PC to open applications, send emails, and conduct data entryComfortable working an 8-hour shift between 8:00 AM - 6:00 PM Monday - FridayPreferred Qualifications:Ability to type at least 40+ WPM accuratelyExperience working in home infusionCareers 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. Keywords: UHG, Lenexa, customer service, healthcare, telephonic, benefits, advocacy, AxelaCare, Home infusion, BriovaRx
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.