Intake Coordinator Care Management

Intermountain Health

2d • $19 - $26 • Hybrid

About The Position

The Utilization Management department oversees delegated services for plans under managed care contracts. The Intake Coordinator in Utilization Management provides superior customer service by responding to inquiries related to pre-authorizations from members, providers, facilities, vendors, and internal departments. This role involves speaking with referral sources, collecting and entering information into the system, processing authorizations, and verifying insurance to ensure patients receive appropriate care from the correct departments or referral sources. The Intake Coordinator also uses data and established processes to identify members who may benefit from Care Management services and takes appropriate action to initiate referrals. Additionally, this role serves as a trainer and mentor to new team members, supporting onboarding and providing ongoing guidance. This position is hybrid. This person will be required to be in office while in training, then remote with expectation that they come into the office 4-5 times a month.

Requirements

• Demonstrated customer service experience in healthcare setting.
• Knowledge of medical terminology or medical background.
• Customer Service
• Computer Literacy
• Computer Systems/technology capable
• Telephone Communications
• Attention to Detail
• Data entry/typing
• Problem Solving

Nice To Haves

• Bilingual in Spanish and English, with the ability to communicate effectively across both languages in a healthcare setting.
• One (1) year of work experience with Medicare, Medicaid, and commercial insurance plans, including preauthorization and utilization management.
• Proficient in CPT, HCPCS, and ICD-10 coding.

Responsibilities

• Provides telephone customer service by answering and returning calls promptly and courteously.
• Triages calls as appropriate and responds to requests accurately and in a timely manner.
• Complies with all information, privacy and confidentiality policies and regulations.
• Communicates with referral sources to gather and input intake information into the computer system, completing the intake process.
• Interfaces with third-party payers to determine insurance benefits or self-pay status at the time of intake, including reviewing EOBs, EOCs, and authorization lists.
• Establishes and maintains effective working relationships with both internal and external stakeholders.
• Assists in training new employees in account preparation and review functions, under the direction of a Lead or Level II team member.
• Expedites urgent cases, including those related to discharge planning, by collaborating with the appropriate discharge team members to gather required information.
• Obtains and verifies insurance eligibility and benefits using various phone and online resources.
• Translates narrative diagnoses from physicians or patients into appropriate ICD-10 and CPT codes.
• Adheres to regulated turnaround times for all service requests, including expedited handling of high priority cases.
• Organizes daily activities to ensure the departmental operations meet established standards.
• Escalates issues and concerns to Level II, Lead, or department leadership as applicable for prompt resolutions.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees