Intake Coordinator

Location

United States

Posted

5 days ago

Salary

0

Seniority

Mid Level

Job Description

Intake Coordinator

Valenz

Role Description As an Intake Coordinator, you will receive inbound calls, faxes, and web requests from providers and/or clients. You will initiate and facilitate the authorization process in accordance with established health plan policies and procedures. - Document demographic information obtained from telephonic, fax, or emailed requests within the care management system. - Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review. - Screen inquiries to determine the services that require certification at the time of the inquiry. - Obtain clinical information and forward the caller to the clinical staff for completion of the review. - Provide certification based upon scripted clinical algorithms or benchmark Length of Stay. - Collaborate and effectively communicate with internal and external partners. - Stay up to date on Summary Plan Documents and other related resources related to service requests. - Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met. - Performs other related duties as assigned by supervisor. - Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. Qualifications - 2+ years of experience in high-volume call center or customer support environment. - High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members. - Strong problem-solving skills. - Excellent communication skills, both verbal and written. - GED or High School Diploma. - A plus if you have: - Medical, claims, or collection call center experience. - Medical Terminology Certification. - Microsoft Office Suite experience. Requirements - This is a fully remote position, and we’ll provide all the necessary equipment! - You’ll need a quiet workspace that is free from distractions. - Reliable internet connection—if you can use streaming services, you’re good to go! - Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA. - 401K with company match and immediate vesting. - Flexible working environment. - Generous Paid Time Off to include vacation, sick leave, and paid holidays. - Employee Assistance Program that includes professional counseling, referrals, and additional services. - Paid maternity and paternity leave. - Pet insurance. - Employee discounts on phone plans, car rentals and computers. - Community giveback opportunities, including paid time off for philanthropic endeavors.

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