Intake Coordinator

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. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Chronic Intake Coordinator (IC) is responsible for managing the intake and coordination of chronic infusion referrals from receipt to scheduling readiness. This role serves as the central point of contact for patients, providers, sales representatives, payors, and internal departments to ensure referrals progress efficiently through the intake process. The Chronic Intake Coordinator reviews referral documentation, conducts patient onboarding, facilitates prior authorization activities, obtains clinical documentation, monitors referral progress, identifies barriers to care, patient communication and collaborates with cross-functional teams to ensure timely patient access to therapy. This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm in their respective time zones. It may be necessary, given the business need, to work occasional overtime on January - February the rest as needed. We offer 3-4 weeks of paid training. The hours during training will be 8:00am to 4:30pm CST, Monday - Friday. Training will be conducted virtually from your home. Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.

Patient Intake & Referral Management Manage assigned chronic infusion referrals from intake to start of care readiness. Review referral documentation for completeness and accuracy. Coordinate missing information requests with providers, sales partners, and patients. Monitor referral progression within CareLink, CPR+, and other company systems. Identify delays, barriers, and risks that could impact patient start of care. Prior Authorization & Clinical Review Review payor requirements and determine authorization needs. Gather and compile clinical documentation required for authorization submission. Assemble prior authorization packets including medical records, diagnosis information, physician documentation, and supporting clinical criteria. Submit authorization requests and perform follow-up activities until final determination is received. Monitor payor portals and communicate authorization updates to stakeholders. Cross-Functional Coordination Partner with Benefits Verification, PACE, Nursing, Pharmacy, Sales, and Provider offices to advance referrals. Communicate frequently regarding outstanding requirements and escalations. Participate in patient review meetings and workflow discussions. Collaborate on issue resolution to minimize delays and prevent avoidable cancellations. Documentation & Compliance Maintain accurate, detailed, and timely documentation within designated systems. Document patient interactions, provider outreach, authorization activity, and referral status updates. Adhere to HIPAA and company privacy policies. Follow departmental SOPs, quality standards, and regulatory requirements. Barrier Removal & Escalation Proactively identify barriers impacting patient access to therapy. Escalate complex cases to leadership or support teams when appropriate. Coordinate resolution efforts involving providers, payors, pharmacies, and patients. Recommend cancellation or alternative solutions when referrals cannot