CDS Intake Specialist

Premier Inc.

2d•Remote

About The Position

First point of contact for network providers, physicians, and members. Responsible for processing incoming prior-authorization requests via phone, fax and web while ensuring that both internal and external customers receive a level of service that exceeds their expectations. Intake Specialist will utilize two methods of communication (inbound and outbound) calls and written correspondence. Must respond to and resolve questions and problems from network providers, imaging centers/facilities, members, and referring providers. Intake Specialist also receives inbound calls on follow-up to existing authorization request either in process or processed.

Requirements

High School Diploma or GED (Required)
Remain in a stationary position for prolonged periods of time
Be adaptive and change priorities quickly; meet deadlines
Attention to detail
Operate computer programs and software
Ability to communicate effectively with audiences in person and in electronic formats.
Day-to-day contact with others (co-workers and/or the public)
Making independent decisions
Ability to work in a collaborative business environment in close quarters with peers and varying interruptions

Nice To Haves

Data Entry
Customer service
Detail oriented
Strong written and verbal skill
1 year of applicable experience (e.g. prior experience in medical, healthcare, and/or contact center setting)
High School Diploma or GED

Responsibilities

Receive/process authorization request intake via phone, fax and/or web
Collect and transfers non-clinical data
Acquire structured clinical data
Review authorization request for completeness of information
Verify eligibility
Verify physician and rendering facility participation
Initiate an online authorization based on information received
Submit cases for second level review if medical necessity cannot be established
Provide customer service to callers following-up on existing authorization request either in process or processed
Perform functions according to client program design
Perform other duties/functions as director from Supervisor