UM Intake Coordinator - Peak Health

WVU Medicine

64d

About The Position

Help design and build a health plan from the ground up as an Intake Coordinator. Reporting to the Health Plan Manager of Utilization Review, the Intake Coordinator will be an integral member of the health plan’s medical management team. This team member will serve as the point-person for all inbound requests for utilization review from providers and pharmacies. The Intake Coordinator will utilize technology to push data to internal stakeholders for decision making. The Intake Coordinator is a collaborative member of the Medical Management team.

Requirements

• High School diploma/GED with One (1) year of working in healthcare and One (1) year of customer service experience, OR Bachelor's degree in lieu of experience.
• Bachelor's degree.

Nice To Haves

• Associate Degree in related healthcare field.
• Two plus years of healthcare and customer service experience.

Responsibilities

• Obtains requests from providers via phone, fax, or provider portal.
• Understands and utilizes software systems to determine member plans and requirements.
• Builds the case in the utilization management system.
• Determines cases that may require additional notification to the member, provider and/or pharmacist.
• Ensures accuracy of data entry to prevent downstream errors.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 101-250 employees