Bilingual Intake Coordinator

ValenzPhoenix, AZ
Remote

About The Position

As a Bilingual Intake Coordinator, you will receive inbound calls, faxes, and web requests from providers and/or clients. You will initiate and facilitate the authorization process in accordance with established health plan policies and procedures.

Requirements

  • 2+ years of experience in high-volume call center or customer support environment.
  • High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members.
  • Strong problem solving skills.
  • Excellent communication skills, both verbal and written.
  • GED or High School Diploma.
  • Fluent in reading, writing, and speaking Spanish and English.

Nice To Haves

  • Medical, claims, or collection call center experience.
  • Medical Terminology Certification.
  • Microsoft Office Suite experience.

Responsibilities

  • Document demographic information obtained from telephonic, fax, or emailed requests within the care management system.
  • Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review.
  • Screen inquiries to determine the services that require certification at the time of the inquiry
  • Obtain clinical information and forward the caller to the clinical staff for completion of the review.
  • Provide certification based upon scripted clinical algorithms or benchmark Length of Stay.
  • Collaborate and effectively communicate with internal and external partners.
  • Stay up to date on Summary Plan Documents and other related resources related to service requests.
  • Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met.
  • Performs other related duties as assigned by supervisor.
  • Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

Benefits

  • Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
  • Spending account options: HSA, FSA, and DCFSA
  • 401K with company match and immediate vesting
  • Flexible working environment
  • Generous Paid Time Off to include vacation, sick leave, and paid holidays
  • Employee Assistance Program that includes professional counseling, referrals, and additional services
  • Paid maternity and paternity leave
  • Pet insurance
  • Employee discounts on phone plans, car rentals and computers
  • Community giveback opportunities, including paid time off for philanthropic endeavors
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