25 days old

Senior Clinical Intake Coordinator - La Vista, NE

La Vista, NE 68128
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  • Job Code
    875056

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)


The Intake Coordinator is an unlicensed individual who assumes day-to-day responsibility for coordinating patient referrals with referral sources, Clinical Liaisons and Sales staff.


Primary Responsibilities:


  • Gathers patient information accurately and completely by utilizing appropriate templates in CPR+ and Carelink 2.0

  • Verifies insurance eligibility prior to processing order

  • Assembles patient's electronic medical record accurately and completely and manages documents appropriately in CPR+

  • Process orders in a timely manner

  • Obtains necessary information according to Accreditation Commission for Health Care (ACHC) guidelines

  • Obtains authorization for services

  • Informs Clinical and Sales Teams of referrals and updates them on the status of the case via workflow process management and blogs in Carelink 2.0

  • Prepares pending files by utilizing appropriate templates in CPR+

  • Communicates/Coordinates referrals with outside pharmacies and referral sources

  • Understands diversity of contracts to handle referrals accordingly

  • Coordinates the start of care with the patient/caregiver, referral source, and other providers of care

  • Coordinates time and initial delivery

  • Cancels pending/no-go referrals when appropriate

  • Directs patient contact involving; schedule and verify infusion appointments/drug shipments (if applicable), respond to nursing and/or customer service issues, patient financial hardships.  Maintain current and accurate documentation in CPR+/AskAxelaCare

  • Documents patient related activities/information in the patient's electronic medical record

  • Consults with direct Manager on difficult or unusual referrals, as appropriate

  • Maintains confidentiality of patient and company information

  • Complies with all company policies and procedures

  • Gathers and ensures all necessary documentation for chart is obtained

  • Communicates effectively with Clinical Team members to assure a smooth transition from intake to start of care

  • Check electronic discharge websites (Allscripts and Ensocare)  for new referrals and updated information, as required (and where applicable)

  • Send the initial referral email to sales/onsite to confirm receipt of the referral

  • Formulate and negotiate private pay pricing as per limitations set by company

  • Scans and appropriately label patient documents in CPR+

  • Performs other duties as required


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.

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Posted: 2020-09-02 Expires: 2020-10-09

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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Senior Clinical Intake Coordinator - La Vista, NE

UnitedHealth Group
La Vista, NE 68128

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