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Intake Coordinator - Farmingdale, NY

UnitedHealth Group


Location:
FARMINGDALE, NY
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1774103
Apply on the Company Site
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Job Details


Intake Coordinator - Farmingdale, NY(Job Number:725583)
Description

Position Description:

Energize your career with one of Healthcare’s fastest growing companies.  

 

You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

 

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.

 

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.


Primary Responsibilities: 
  • Manage administrative intake of members or the admission / discharge information post notification
  • Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and / or providers
  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Receive care coordination notification cases for non-clinical assessment / intervention and provide appropriate triage
  • Review requests for adverse determination, approval notification and processing notification requirements
  • Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
  • Handle resolution / inquiries from members and/or providers that may include: 
  • Benefit and Eligibility information
  • Billing and Payment issues
  • Customer material requests
  • Physician assignments
  • Authorization for treatment
  • Explanation of Benefits (EOB)
  • Verifying appropriate ICD-10 and CPT coding usage
  • The ideal candidate for this position would have call center or member outreach experience
  • Moderate work experience within own function
  • Some work is completed without established procedures
  • Basic tasks are completed without review by others
  • Supervision / guidance is required for higher level tasks

Job Clinical Admin & Processing
Primary Location US-NY-FARMINGDALE
Other Location 
Organization OptumRx AxelaCare
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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