CDS Intake Specialist

Premier Inc.

19h•Remote

About The Position

The CDS Intake Specialist serves as the first point of contact for network providers, physicians, and members. This role is responsible for processing incoming prior-authorization requests via phone, fax, and web, ensuring exceptional service for both internal and external customers. The Intake Specialist will utilize both inbound and outbound communication methods, including phone calls and written correspondence, to respond to and resolve inquiries and issues from network providers, imaging centers/facilities, members, and referring providers. Additionally, the specialist will handle inbound calls for follow-up on existing authorization requests that are either in process or have been processed.

Requirements

High School Diploma or GED (Required)
0 or more years of applicable work experience
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

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

Responsibilities

Receive and process authorization request intake via phone, fax, and/or web.
Collect and transfer 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 requests.
Perform functions according to client program design.
Perform other duties/functions as directed by Supervisor.