Remote Prior Authorization Rn Jobs in Mobile, AL

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Intake Specialist is responsible for receiving referrals from sources and ensuring they are processed through the intake process in a timely manner. The Intake specialist is also responsible for obtaining the patient's benefits, prior authorizations and/or predeterminations. This position is also responsible for providing support and training to junior team members, while working closely with cross-functional teams to improve processes that drive prompt and accurate reimbursement, ultimately contributing to the company's financial health.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Processes orders from referral sources
• Assesses patient needs upon arrival
• Responds to all phone and fax inquiries
• Verifies patient's benefits and eligibility for requested services
• Obtains all necessary information required to process a prior authorization if applicable
• Completes all patients start of care paperwork
• Relays insurance coverage to referral source/patient and discuss financial responsibilities and any need for financial assistance
• Enter all new patients into database
• Receives and uploads all documents received into patient's file
• Monitors referrals and assess any of their needs
• Assist clients and staff with referral questions when needed
• Assists in training new employees
• Assists intake staff to maximize the Company's value by onboarding patients quickly and accurately to optimize cash flow
• Collaborate with teammates to continually refine and improve processes and procedures
• Other duties as assigned

Competency Statements 

• Ability to work in a remote environment/home setting
• Ability to lead others
• Solid organizational skills, adaptable to changing priorities, with the ability to maintain accurate documentation and records
• Excellent communication skills with the ability to effectively relay information
• Understanding of compliance with state and federal laws and regulations

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 3 years of experience working within an intake department in a specialty area such as specialty pharmacy, home infusion, ambulatory infusion centers, or other comparable healthcare services
• Experience working with healthcare insurance with the ability to evaluate options and make effective decisions
• Proficiency with Microsoft Office Suite programs, electronic medical records, and use of the internet

Preferred Qualifications:

• Pharmacy Technician certification
• Pharmacy Technician registration: if not registered, the individual must register as a TX Pharmacy Technician Trainee and complete licensing requirements in the time allotted by the State Board of Pharmacy
• 3 years of experience intake processing in specialty pharmacy infusion
• Experience verifying benefits eligibility and discussion out of pocket benefits
• Experience with benefits authorizations 
• Experience processing prior authorizations 
• Experience with start of care paperwork
• Familiar with benefits investigations

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.