Intake Coordinator

🔥 13 hours ago

🏈 Alabama, Alaska, +43 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $19 - $27 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Highmark Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1852

🛡️ Insurance

💼 Consulting

📦 Logistics

💰 $5M Grant on 2021-05

Insurance • Consulting • Logistics

Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.

📋 Description

• Capture inbound inquiries for utilization management review from providers and pharmacies • Assess requests and research member benefit coverage • Create cases through data entry in Highmark's Utilization Management system for prior authorization clinical review • Enter accurate information to meet regulatory compliance requirements and service level agreements • Obtain requests via fax, provider portal, service form inquiry, and sometimes phone • Use multiple software systems and resource sites to determine member plans and requirements • Gather required documentation and verify benefit eligibility • Evaluate cases requiring additional notification to members, providers, or pharmacists • Contact providers and pharmacists to obtain additional information when needed • Make outbound calls and triage cases when inventory levels require support • Perform other duties as assigned

🎯 Requirements

• 1 year of Customer Service experience • 1 year of Healthcare Industry experience • Good written and oral telephonic communication skills • Ability to navigate through multiple systems simultaneously • Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax • Ability to interact well with peers, supervisors, and customers • Problem-solving skills • Knowledge of principles and processes for providing customer service, including customer needs assessment and meeting quality standards for services • High School/GED • Must comply with HIPAA, data security guidelines, company policies, code of business conduct, applicable federal and state laws, rules, and regulations • No licenses or certifications required • No language other than English required

🏖️ Benefits

• Remote work arrangement • Base pay • Travel requirement of 0%–25%