Intake Coordinator Hybrid

Company: Intermountain Healthcare
Location: Trenton
Posted on: June 23, 2022

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