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Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
The Home Health Authorization Specialist is primarily responsible for requesting authorizations from insurance companies on initial and continuation of services for skilled nursing, therapy services, home health aides, infusion therapy, as well as follow-up on the requests. Accountable for maintaining quality assurance on the home health intake process including but not limited to patient demographics, medical insurance verification, and authorization. Assures consistent, appropriate, and cost-effective care by actively managing patient/client needs based on payer’s benefit requirements. Performs all functions in professional and ethical manner and collaborates with other members of the home health care team to ensure physician orders are submitted to the authorization department in a timely manner. Enters insurance authorization and eligibility information into current EMR. Actively participates in the Agency’s on-call rotation in the home health Intake/Authorization role approximately once per month to include holidays.
Monday through Friday, 9:00am-6:00pm, with rotating on call shifts after 90 days of employment.
Primary Responsibilities:
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:
Preferred Qualifications:
Soft Skills:
Physical Demands:
Work Environment:
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.
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.
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