[Hiring] CDS Intake Specialist @Premier Inc.

Role Description

First point of contact for network providers, physicians, and members. Responsible for processing incoming prior-authorization requests via phone, fax, and web while ensuring that both internal and external customers receive a level of service that exceeds their expectations. Intake Specialist will utilize two methods of communication (inbound and outbound) calls and written correspondence. Must respond to and resolve questions and problems from network providers, imaging centers/facilities, members, and referring providers. Intake Specialist also receives inbound calls on follow-up to existing authorization requests either in process or processed.

Key Responsibilities

• Receive/process authorization request intake via phone, fax and/or web
• Collect and transfer non-clinical data
• Acquire structured clinical data
• Review authorization request for completeness of information
• Verify eligibility
• Verify physician and rendering facility participation
• Initiate an online authorization based on information received
• Submit cases for second level review if medical necessity cannot be established
• Provide customer service to callers following up on existing authorization requests either in process or processed
• Perform functions according to client program design
• Perform other duties/functions as directed from Supervisor

Qualifications

• Years of Applicable Experience: 0 or more years
• Education: High School Diploma or GED (Required)

Requirements

• Remain in a stationary position for prolonged periods of time
• Be adaptive and change priorities quickly; meet deadlines
• Attention to detail
• Operate computer programs and software
• Ability to communicate effectively with audiences in person and in electronic formats
• Day-to-day contact with others (co-workers and/or the public)
• Making independent decisions
• Ability to work in a collaborative business environment in close quarters with peers and varying interruptions
• Working Conditions: Remote
• Travel Requirements: No travel required
• Physical Demands: Sedentary work involves remaining stationary most of the time. Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.

Benefits

• Health, dental, vision, life and disability insurance
• 401k retirement program
• Paid time off
• Participation in Premier’s employee incentive plans
• Tuition reimbursement and professional development opportunities