Intake Coordinator

Job not on LinkedIn

🔥 4 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 12%

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Blue Cross and Blue Shield of Louisiana

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1934

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association, offering a range of health insurance products and services in the state of Louisiana. The company provides health, dental, and travel insurance options, including Medicare Advantage plans such as HMO and PPO. They focus on delivering comprehensive healthcare coverage through various plans to meet varying customer needs, while partnering with doctors, hospitals, and clinics to ensure quality care and support. Additionally, the company emphasizes wellness programs, cost-saving opportunities, and accessibility for its members.

📋 Description

• Respond to provider requests telephonically and electronically for preauthorization of inpatient admissions and outpatient services and procedures • Verify benefits, eligibility, and provider network status • Promote and maintain a positive company image through telephonic and electronic contact with internal and external customers • Meet staff and unit performance targets and departmental productivity goals • Receive member clinical data, enter relevant case information, and follow departmental processes to authorize services • Forward cases and clinical data to the appropriate Utilization Review team when approval is not allowed by process • Manage authorizations to minimize healthcare disruption, standardize decision timeliness, and accommodate provider/member needs • Manage verbal notifications and written materials in compliance with regulatory and operational guidelines • Maintain knowledge of lines of business, laws and regulations, data exchange code sets, medical terminology, computer systems, Care Management and URAC policies and procedures • Complete special assignments and projects requested by management • Comply with laws and regulations associated with job duties • Perform other job-related duties within the scope of responsibilities

🎯 Requirements

• High School Diploma or GED required • 1 year call center experience or prior knowledge of health insurance pre-service authorization required • Excellent listening, reading, comprehension, oral and written communication skills • Effective organizational and interpersonal skills • Ability to multitask, work independently, and prioritize multiple customer issues • Working knowledge of Microsoft Word and Excel • Working knowledge of medical terminology • Ability to communicate verbally by telephone in a call center environment approximately 95% of the time • Ability to sit at a desk and answer calls for prolonged periods with predetermined breaks • Facets experience preferred • Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support • Must successfully complete background and pre-employment drug screening

🏖️ Benefits

• Resources to live well and be healthy • Continued learning and skill development • Professional growth opportunities • Opportunity to serve local communities • Smoke- and tobacco-free workplace • Background and pre-employment drug screening