Associate Intake Coordinator

Highmark Health

122d • $19 - $23

About The Position

This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization.

Requirements

• None required.
• 1 year of Customer Service experience preferred.
• 1 year of Call Center experience preferred.
• 1 year of Healthcare experience preferred.

Responsibilities

• Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a detailed script and desk level procedure, and appropriately log result within the platform.
• Obtain triage task from Utilization Management platform and follow a detailed desk level procedure to enter the required fields to set up the case build (data entry) and set the urgency of the case creation for the Intake Coordinator.
• Other duties as assigned or requested.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees