Intake Coordinator

Point32Health•Remote Worker Home Office (MA), MA

3d•$20 - $30

About The Position

The Intake Coordinator responds to provider queries, enters administrative authorization and referral data into computer systems, and maintains documentation and files supporting member care, customer service, and departmental functions. The role is associated with incoming referrals and authorizations for the utilization component of medical management. It receives authorization requests, gathers additional information, researches member eligibility and primary care selection, documents communications, and facilitates coordination of services. The position works with providers, members, and internal departments to address complex or urgent issues and enters authorization requests for inpatient stays and, as needed, outpatient requests. The work takes place in a fast-paced office environment and may require working from home as needed.

Requirements

Associate degree or equivalent relevant work experience.
At least two years of experience in a business environment.
Exceptional internal and external customer service skills.
Ability to work in clinical and company databases.
Excellent verbal and written communication skills.
Proficiency and accuracy in data entry across multiple applications.
Ability to identify urgent situations and follow appropriate protocols.
Ability to manage multiple priorities and exercise initiative, judgment, and perception while working independently and in partnership with other departments.
Strong organizational and problem-solving skills and attention to detail.
Excellent interpersonal skills.
Ability to communicate daily by telephone with network providers and office staff, hospital contacts, and internal departments.
Ability to work under normal office conditions and work from home as required.
Ability to use a telephone/headset and PC/keyboard simultaneously and sit for extended durations.

Nice To Haves

Experience in a managed care or health industry environment.

Responsibilities

Receive authorization requests from providers by fax, portal, and telephone, and create an event or transaction for UM teams to review and decide.
Contact provider offices to obtain additional clinical information.
Research member eligibility and primary care selection to complete event entry.
Document and maintain telephone calls and enter notes for each call or inquiry; document admissions and referrals, and maintain messages, forms, and logs.
Work with providers and other members to resolve complex and urgent issues, involving the appropriate person or department across the organization.
Enter authorization requests for inpatient stays and, as needed, outpatient requests into the information system.
Represent Medical Management at applicable activities, including system user groups and other health data system organizations.
Attend organization-wide and department staff meetings.
Maintain professional growth and development through self-directed learning and involvement in professional, civic, and community organizations.
Perform other duties as assigned by Intake and Outreach Coordination leadership.

Benefits

Medical coverage
Dental coverage
Vision coverage
Retirement plans
Paid time off
Employer-paid life insurance with additional buy-up coverage options
Employer-paid disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Benefits supporting career development, individual and family health, and financial health
Variable pay eligibility