Intake Coordinator - Utilization Management

Sanford HealthSioux Falls, SD
10d$16 - $26

About The Position

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. 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. 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

  • High school diploma or equivalent preferred.
  • 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
  • Based on facility needs, may require a valid driver’s license and maintain a good driving record.

Responsibilities

  • 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.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service