[Hiring] Intake Coordinator @Point32Health

Role Description

Respond to provider queries, enter administrative authorization data into the computer system, and maintain proper documentation and files to support care of members, customer service, and other departmental functions. The position will be directly associated with incoming referrals and authorizations for the utilization component of medical management.

• Receives incoming authorization requests from providers, via fax, portal & telephone to create an event or transaction by lines of business for the UM teams to review and decision requests.
• Contacts provider offices for further details on clinical information.
• Research member eligibility and primary care selection to complete entry of the event.
• Documents and maintains all telephone calls and enters a note on each call/inquiry made. Documents all admissions and referrals. Maintains flow and storage of information such as messages, forms, and logs.
• Works with providers and other members to solve complex and urgent issues. Ensures that appropriate person/department from across the organization is appropriately involved with applicable issues.
• Data entry of Authorization Requests for all Inpatient stays – Outpatient requests as needed, into information system.
• Represents Medical Management at applicable activities including system user groups and other health data system organizations.
• Attends organization-wide meetings and department staff meetings.
• Maintains professional growth and development through self-directed learning activities and involvement in professional, civic and community organizations.
• Other duties as assigned by the Intake and Outreach Coordination leadership.

Qualifications

• Required (minimum): Associates’ degree or equivalent relevant work experience.
• Preferred: Managed care/health industry environment experience.

Requirements

• Two plus years of experience in a business environment.
• Exhibits exceptional internal and external customer service skills.
• Ability to work in clinical and company databases.
• Excellent verbal and written communication skills generally acquired through college or other advanced education are required.
• Must be able to demonstrate proficiency and accuracy in performing data entry tasks in multiple applications.
• Individuals must be able to appropriately identify urgent situations and follow the appropriate protocol.
• Ability to manage multiple priorities as well as having the initiative, judgment, and perception to operate independently and in partnership with other departments.
• Strong organizational and problem-solving skills and attention to detail necessary to act within this complex environment.
• Requires excellent interpersonal skills.
• Position requires daily contact, by telephone, with network providers and their office staff, hospital contacts and Point32Health internal departments.

Benefits

• Medical, dental and vision coverage.
• Retirement plans.
• Paid time off.
• Employer-paid life and disability insurance with additional buy-up coverage options.
• Tuition program.
• Well-being benefits.
• Full suite of benefits to support career development, individual & family health, and financial health.