[Hiring] Intake Representative Lead @COMAGINE HEALTH

Role Description

The Intake Representative Lead is responsible for designing, implementing, and evaluating reviews by coordinating, delegating, and supporting the Intake Representative team. This position serves as a subject matter expert for FFS reviews, as well as Long Term Care reviews for the DC Contract.

In this role, you will:

• Provide daily oversight and monitoring of non-clinical staff, as assigned; also provide the supervisor with input regarding employees’ performance of all treatment types.
• Provide clinical and/or review process subject matter expertise; respond to customer and provider questions or concerns.
• Assist with initial orientation and training of new staff.
• Create staff training schedules daily as indicated by the supervisor.
• Ensure timely completion of daily training and report pertinent observations of individual and team productivity and performance to the supervisor.
• Apply and assist in the development of non-clinical staff’s work process.
• Retain and organize files and records, track, and monitor due dates on action items.
• Provide follow-up and monitoring of non-clinical staff during their performance, as appropriate; also provide the supervisor with input regarding employees’ performance of these activities.
• Screen client or customer complaints and assist with follow-up and resolution.
• Respond to inbound telephone requests.
• Assist in organizing and scheduling Open Forum huddles.
• Participate in Provider Portal training.
• Identify training needs or opportunities for improvement in process or documentation and work with Supervisor and manager to update procedures and process as needed.
• Identify and report HIPAA and PHI violations in the appropriate database.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent.
• Equivalent combination of education and/or work experience in related field may be substituted.
• 4 years of related work experience.
• 2 years of related work experience in healthcare.
• 4 years of direct customer service experience.

Requirements

• Post-secondary education or certification in a related field.
• Current and active RHIT, RHIA, CCA, or CCS certification.
• Experience with Medicaid.
• Intermediate MS Office Suite proficiency.
• Full proficiency with web-based review workflows and processes.
• Demonstrated proficiency with medical terminology plus diagnosis and/or procedure coding.
• Participates in orientation and training of other Intake staff.
• Handles challenging and/or complex requests.

Benefits

• Medical, dental and vision insurance.
• Paid time off for vacation, illness and volunteering.
• Retirement savings plan with employer contribution.
• Adoption financial assistance.
• Paid parental leave.
• And much more!

Company Description

Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our success.