Intake Coordinator - Health Plan

Sanford Health•Remote WI, SD

5d•$16 - $26•Onsite

About The Position

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. Case management leads the initial intake and review of members who are eligible for medical and behavioral health case management services. Assigns members to team based on risk score and clinical rules. Provides support to case managers by scheduling telephonic visits with members, completing initial clinical screening questionnaire of members, facilitating correspondence with members including educational materials and other resources. Reviews Sanford Health Plan member risk score reports. For individuals supporting non-clinical areas, additional duties may include but not limited to: tracking metrics/dashboards; files details from workshops, events or other assigned functions with CMS and provides compliant materials specific to the event. Manages correspondence/communications with potential clients/customers and routes prospect calls for assistance. Schedules meetings and calls for assigned staff members when needed. Coordinates with Marketing for event mailings.

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
Microsoft Office skills are required
Strong verbal and written skills geared toward communicating by phone, in writing and in person
Must project a positive and professional image
Must be highly organized

Nice To Haves

Valid driver’s license and maintain a good driving record

Responsibilities

Completing administrative tasks and coordinating activities
Answering telephones, taking messages and answering routine questions
Composing, typing and distributing meeting notes, routine correspondence, presentations, billing, reimbursement or monthly reports
Maintaining master copies of company policy and procedure manuals, keeping them up-to-date
Managing all mailings to members and responsible for necessary correspondence
Documenting all member/provider interaction in member database software per expected workflow
Interacting compassionately with members on a one-on-one basis and anticipating their needs through careful listening and patience
Handling multiple tasks under constant pressure
Awareness of when and how to access additional resources to meet needs of members
Performing resource benefit policy management
Triaging inbound and outbound calls
Processing intake requests (prior authorizations)
Completing data entry and assigning cases to appropriate clinical team members
Supporting medical management programs and operations
Leading the initial intake and review of members who are eligible for medical and behavioral health case management services
Assigning members to team based on risk score and clinical rules
Scheduling telephonic visits with members
Completing initial clinical screening questionnaire of members
Facilitating correspondence with members including educational materials and other resources
Reviewing Sanford Health Plan member risk score reports
Tracking metrics/dashboards
Filing details from workshops, events or other assigned functions with CMS and providing compliant materials specific to the event
Managing correspondence/communications with potential clients/customers and routing prospect calls for assistance
Scheduling meetings and calls for assigned staff members
Coordinating with Marketing for event mailings