Intake Coordinator - Utilization Management
About The Position
The Intake Coordinator position supports the Health Plan Utilization Management team and assists with members and provider calls related to authorizations. Hours of Operation: Monday through Friday, 8 am to 5 pm, no weekends or holidays The intake coordinator serves as a support to health plan teams by completing administrative tasks and coordinating activities such as answering telephones, taking messages and answering routine questions. In addition, composes, types and distributes meeting notes, routine correspondence, presentations, billing, reimbursement or monthly reports. May maintain master copies of company policy and procedure manuals, keeping them up-to-date. Manages all mailings to members and responsible for necessary correspondence. Documents all member/provider interaction in member database software per expected workflow. Strong verbal and written skills geared toward communicating by phone, in writing and in person. Must project a positive and professional image. Must be able to interact compassionately with members on a one-on-one basis and anticipate their needs through careful listening and patience. Must be highly organized and able to handle multiple tasks under constant pressure. Microsoft Office skills are required. Awareness of when and how to access additional resources to meet needs of members. For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy management, triages inbound and outbound calls, processes intake requests (prior authorizations), completes data entry and assigns cases to appropriate clinical team members. Supports medical management programs and operations.
Requirements
- Strong verbal and written skills geared toward communicating by phone, in writing and in person
- Must project a positive and professional image
- Must be able to interact compassionately with members on a one-on-one basis and anticipate their needs through careful listening and patience
- Must be highly organized and able to handle multiple tasks under constant pressure
- Microsoft Office skills are required
- Awareness of when and how to access additional resources to meet needs of members
- High school diploma or equivalent preferred
- Based on facility needs, may require a valid driver's license and maintain a good driving record
Nice To Haves
- Associate degree preferred.
- Two years in a business or health care setting with strong emphasis on customer service and handling confidential matters.
- Health system experience preferred
Responsibilities
- Completing administrative tasks
- Coordinating activities such as answering telephones, taking messages and answering routine questions
- Composes, types and distributes meeting notes, routine correspondence, presentations, billing, reimbursement or monthly reports
- May maintain master copies of company policy and procedure manuals, keeping them up-to-date
- Manages all mailings to members and responsible for necessary correspondence
- Documents all member/provider interaction in member database software per expected workflow
- Utilization management performs resource benefit policy management, triages inbound and outbound calls, processes intake requests (prior authorizations), completes data entry and assigns cases to appropriate clinical team members
- Supports medical management programs and operations
Benefits
- Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
