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Clinical Intake Specialist - Homecare Dimensions (WellMed) - San Antonio - Network Boulevard

UnitedHealth Group


Location:
San Antonio, TX
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1785845
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Job Details


Clinical Intake Specialist - Homecare Dimensions (WellMed) - San Antonio - Network Boulevard(Job Number:730134)
Description

Opportunities with Homecare Dimensions. For more than 20 years, Homecare Dimensions has been bringing compassionate and skilled care into the homes of patients throughout Southern Texas. Our focus on combining empathy with quality of care enables us to effectively act as a supportive partner to primary care providers. And that makes our organization a perfect fit to Optum and the UnitedHealth Group family of businesses. Career opportunities with Homecare Dimensions provide you with flexibility, autonomy and incredible support. More importantly, you’ll discover the tools, resources, training and technology that only a leader like Optum can provide. Want to make a bigger difference? Join us and start doing your life’s best work.(sm)
 
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

Job Patient Services
Primary Location US-TX-San Antonio
Other Location 
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 4
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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