Medical Intake Coordinator - Remote Position

HealthCare Strategies, Inc.• US,

2d•Remote

About The Position

Join HealthCare Strategies (HCS) — a trusted leader in clinical and healthcare technology services for more than 40 years. HCS has built a strong reputation for delivering quality medical management programs and innovative technology platforms that drive next-generation, informatics-based health management solutions. We are seeking a Medical Intake Coordinator to join our growing team! In this full-time, remote role, you’ll play an important part in facilitating requests for medical services for various benefit plans. You’ll handle incoming calls, gather information, and help guide members and providers through the authorization process — all while providing exceptional service and support.

Requirements

Strong verbal and written communication skills (required)
Excellent problem-solving and decision-making abilities
Strong multi-tasking and organizational skills
Ability to provide guidance based on policy, procedures, and benefit plan design
Proficient computer skills; familiarity with Windows-based applications required

Nice To Haves

Minimum of 1 year of experience in a healthcare setting preferred
Minimum of 1 year of experience in a call center environment preferred
Bilingual in Spanish a plus.

Responsibilities

Answer incoming calls related to medical service requests and determine whether prior authorization is required
Explain the role and services of HCS to members and providers
Accurately document all call details in the computer system
Gather member demographics, provider details, and clinical information to initiate authorizations
Communicate medical review outcomes completed to medical professionals and members as needed
Appropriately triage calls and refer to other HCS products or departments when applicable