1+ months

In Take Coordinator WellMed - San Antonio - 887198

United Health Group
Shavano Park, TX 78231
  • Job Code

This high volume, customer"service environment. You'll need to be efficient, productive and thorough"dealing with our providers and members over the phone and managing fax. You"also must be able to work a flexible schedule that includes evening hours and"rotating weekends.


This position is responsible"for the daily coordination of the administrative intake of members in the"Intake Call Center. This is high volume, customer service environment. You'll"need to be efficient, productive and thorough dealing with our providers and"members over the phone. You also must be able to work a flexible schedule that"includes rotating weekends.

Primary Responsibilities:
  • Process"incoming and outgoing referrals, and prior authorizations, including intake,"notification and census roles
  • Work"with hospitals, clinics, facilities and the clinical team to manage requests"for services from members and/or providers
  • Assist"the clinical staff with setting up documents/triage cases for Clinical Coverage"Review
  • Provide excellent customer service, including the" ability to handle escalated callers
  • Handle"resolution/inquiries from members and/or providers
  • Provide"administrative approvals (depends on line of business)Handling expedited"authorizations, authorization updates and status checks
  • Responsible" for outreaches to providers and/or Patient to complete authorization" requests and prescriptions
  • Maintain" knowledge of various health plan partner benefits, networks, CMS" regulations and health plan partner policies
  • Perform" all other related duties as assigned

This is a call center"environment near Lockhill Selma Rd./De"Zavala / IH - 10 / Loop 1604, San Antonio, TX, 78249, Mon -Fri: 7AM - 6PM"(11HRS) / Required Rotating Sat - Sun: 8AM - 5PM.


Required Qualifications:
  • 2 years of telephone"customer service experience
  • High School Diploma or GED"equivalent
  • Experience with MS"Office software including Outlook, Word and Excel
  • Strong oral and written"communication with exceptional soft skills
  • Ability to source"information rapidly in an electronic environment
  • High sense of attention"to detail
Preferred Qualifications:
  • 1 year or more of"experience working in an inbound customer service call center and with"healthcare insurance.
  • Experience working in"the medical environment with an aptitude of medical terminology
  • A clerical or administrative"support background
  • Knowledge of ICD-9 and"CPT codes
  • Bilingual English and"Spanish"
Careers with WellMedOur focus is simple. We're"innovators in preventative health care, striving to change the face of health"care for seniors., WellMed is a network of doctors, specialists and other"medical professionals that specialize in providing care for 550,000+"older adults with over 16,000 doctors' offices 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords:CSR, Healthcare Customer Service Rep, medical terminology, Prior Authorization. Claim Review, San Antonio TX


Posted: 2021-01-15 Expires: 2021-03-14

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In Take Coordinator WellMed - San Antonio - 887198

United Health Group
Shavano Park, TX 78231

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