8 days old

WellMed Durable Medical Equipment Intake San Antonio - 932123

San Antonio, TX 78205
Apply Now
Apply on the Company Site
  • Job Code
    932123

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)

""

The DME 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. Hours are M-F, 10-7 at our location on Network Boulevard.

""

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 Kinnser 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
  • "
""

Youll 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:

""
    ""
  • Accredited high school diploma or GED
  • ""
  • 1+ years of experience in an office setting
  • ""
  • 1+ years of experience customer service
  • ""
  • Highly developed customer service and organizational skills
  • ""
  • Excellent computer skills including the ability to type a minimum of 25 WPM
  • ""
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
  • "
""

Preferred Qualifications:

""
    ""
  • Bilingual (Spanish)
  • ""
  • Medicare local coverage criteria (LCD)
  • "
""

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

""

""

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.
"

""

Job Keywords: DME, Durable Medical Equipment, Intake, Clinical Intake, San Antonio, Texas, TX

Posted: 2021-06-09 Expires: 2021-07-09

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.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

WellMed Durable Medical Equipment Intake San Antonio - 932123

UnitedHealth Group
San Antonio, TX 78205

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast