Intake Coordinator Hybrid
Company: Intermountain Healthcare
Location: Trenton
Posted on: June 23, 2022
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Job Description:
**Job Description:**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 engage the member in our Care
Management program.Job Essentials1. Participates in the
identification, development, and implementation of new programs or
process improvement initiatives by taking an active role or leading
department project teams.2. Receives incoming calls from members,
providers, facilities, vendors, and other departments while
providing professional solutions and information for situations and
problems. Follows established guidelines to complete
pre-authorizations for members and providers.3. Supports the care
management program over multiple disciplines by calling members and
offering information/resources or engagement in Care Management,
starting cases and tasking cases to the Care Manager.4. 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 manner5. Notifies requesting providers of
review outcome.6. Indexes and distributes inbound requests from AWD
and other documentation systems to appropriate team members in a
timely fashion. Indexes and distributes cases to medical
reviewers.7. Completes report assignments in designated time
frames. Reviews inpatient facility census and makes referrals to
Care Manager as appropriate .8. 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)9. Coordinates member needs with other
SelectHealth departments.**Wage: $18.34/hour + depending on
experience****Benefits: Yes - Medical, Dental, Vision, Tuition
Assistance, 401K, etc.****Shift Details: 9:30AM till
6:00PM****Required to work one weekend per month****Required to be
onsite for training 2+ weeks, then Hybrid schedule 4-8 times per
month (twice a week usually) in office after training****May
require mandatory OT at times**Minimum QualificationsExperience in
medical office/insurance, or health related customer service
experience; experience must include taking incoming or making
outgoing telephone calls in a professional environment.- and
-Demonstrated basic computer skillsPreferred
QualificationsKnowledge of medical terminology or medical
background.- and -Ability to work independently, demonstrates
flexibility, and be self-motivated with a positive
attitude.**Physical Requirements:**Interact with others requiring
the employee to communicate information.- and -Operate computers
and other office equipment requiring the ability to move fingers
and hands.- and -See and read computer monitors and documents.- and
-Remain sitting or standing for long periods of time to perform
work on a computer, telephone, or other
equipment.**Location:**SelectHealth - Murray**Work
City:**Murray**Work State:**Utah**Scheduled Weekly Hours:**40The
salary range for this position is:$18.34 - $27.13For a description
of Intermountain's employment benefits, clickHERE.
(https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits)Equal
Opportunity EmployerIntermountain Healthcare is an equal
opportunity employer. Qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national
origin, disability or protected veteran status.The primary intent
of this job description is to set a fair and equitable rate of pay
for this classification. Only those key duties necessary for proper
job evaluation and/or labor market analysis have been included.
Other duties may be assigned by the supervisor.All positions
subject to close without notice. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, age, national
origin, disability or protected veteran status. Women, minorities,
individuals with disabilities, and veterans are encouraged to
apply.Thanks for your interest in continuing your career with our
team!
Keywords: Intermountain Healthcare, Trenton , Intake Coordinator Hybrid, Other , Trenton, New Jersey
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