Intake Coordinator

Intermountain Health

2d • Remote

About The Position

Select Health is a community health plan serving more than 1 million members. Select Health’s line of businesses include Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded Commercial Employer plans. The Intake Coordinator provides superior customer service to all inquiries and questions regarding preauthorization for members, providers, facilities, vendors, other departments and teams. Uses data and process to identify members in need of Care Management and takes the appropriate action to refer the member to our Care Management program. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont, and Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings

Requirements

• Experience in medical office / insurance, or health related customer service.
• Experience must include taking incoming or making outgoing telephone calls in a professional environment.
• Experience working successfully in a remote environment.
• Demonstrate proficiency using Microsoft Office Suite, including Teams (chat, whiteboard, task tracking) & Outlook; Capable of troubleshooting internet connection, basic computer hardware set-up, ability to customize computer settings and use multiple monitors.
• Customer Service
• Computer Literacy
• Computer Systems
• Telephone Communications
• Attention to Details
• Referrals
• Typing
• Problem Solving
• Teamwork
• Positive Attitude

Nice To Haves

• Knowledge of medical terminology or medical background.
• Ability to work independently, demonstrates flexibility, and be self-motivated with a positive attitude.

Responsibilities

• Receives incoming calls from members, providers, facilities, vendors, and other departments while providing professional solutions and information for situations and problems.
• Follow established guidelines to complete pre-authorizations for members and providers.
• Makes outbound calls as needed to obtain information for compliance with NCQA, CMS or other regulatory guidelines for completion of utilization review preauthorization service requests or concurrent reviews in a timely manner.
• Completes report assignments in designated time frames.
• Reviews inpatient facility census and makes referrals to Care Manager as appropriate.
• Complies with established auditing criteria for calls and pre-authorizations.
• Stays current and conversant on customer service call audit criteria as well as preauthorization and care management guidelines to provide accurate information, and follows all applicable regulatory guidelines (NCQA, CMS, State Medicaid).

Benefits

• Comprehensive 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.
• 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
• Up-front tuition coverage paid directly to the academic institution.

What This Job Offers

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