[Hiring] Bilingual Intake Coordinator @Valenz

Role Description

As a Bilingual 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.
• Perform 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.
• Fluent in reading, writing, and speaking Spanish and English.

Requirements

• A plus if you have medical, claims, or collection call center experience.
• Medical Terminology Certification.
• Microsoft Office Suite experience.

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.