Intake Specialist

** Requisition number:
** 2382409

** Job category:
** Medical & Clinical Operations

_This position is National Remote. You'll enjoy the flexibility to telecommute
* from anywhere within the U.S. as you take on some tough challenges._

** Explore opportunities with Flex Care, part of the Optum family of businesses** . At Flex Care, we are on a mission to provide exceptional IV therapy to patients with neurological, rheumatologic, gastroenterological and immunological disorders. Be part of a cutting-edge clinical environment where your expertise is valued, and your career growth is supported. Join us to start 
** Caring. Connecting. Growing together. *
* The  
** 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, as well as communicating with the patient and their families as well as the referral source to determine their needs, medical history, physical and mental state, and special requirements. 

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 4:30 pm MST. It may be necessary, given the business need, to work occasional overtime  (possibility in January).

We offer 1 - 2 weeks of on-the-job training. The hours of training will be aligned with your schedule.

*
* 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 the 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

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:

*
* + High School Diploma / GED

+ Must be 18 years of age OR older

+ 2+ years of experience in healthcare

+ 1+ years of experience with prior authorization

+ Experience in working with healthcare insurance plans, including eligibility, coverage, and authorization processes

+ Proficiency in Microsoft Office applications (Word, Excel, Outlook) and ability to learn new systems quickly

+ This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 4:30 pm MST. It may be necessary, given the business need, to work occasional overtime  (possibility in January).

*
* Preferred Qualifications:

*
* +

Experience with intake of home infusion or specialty pharmacy services

+ Familiarity with authorization portals (such as Availity, Navi Net, or payer-specific systems)

+ Working knowledge of EMR systems such as WeInfuse, CPR+, or Epic

+ Understanding of medical terminology, CPT / HCPCS, and ICD-10 codes

+ Experience in coordinating with nursing agencies, field clinicians, or referral partners

** Telecommuting Requirements:*
* + Ability to keep all company sensitive documents secure (if applicable)

+ Required to have a dedicated work area established that is separated…