Intake Coordinator

🔥 42 minutes ago

🇺🇸 United States – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Point32Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Point32Health is a leading nonprofit health and well-being organization that provides health coverage and services for individuals at all life stages. Through its family of companies, including Harvard Pilgrim Health Care and Tufts Health Plan, Point32Health offers a variety of health plans, programs, and services encompassing medical, pharmacy, wellness, and behavioral health. Point32Health is committed to health equity and has been recognized for its inclusive practices, earning distinctions in areas such as health equity, disability inclusion, and LGBTQ+ workplace inclusion. With a focus on innovative solutions and high-quality coverage, Point32Health strives to create a better healthcare experience for its members and communities.

📋 Description

• Respond to provider queries and enter administrative authorization data into the computer system • Maintain documentation and files supporting member care, customer service, and departmental functions • Enter referral and authorization information into the computer system • Facilitate coordination of services for incoming referrals and authorizations • Receive authorization requests via fax, portal, and telephone and create events or transactions for utilization management review • Contact provider offices for additional clinical information • Research member eligibility and primary care selection • Document telephone calls, inquiries, admissions, referrals, messages, forms, and logs • Work with providers and internal members to resolve complex and urgent issues • Involve appropriate departments in issue resolution • Enter authorization requests for inpatient stays and outpatient requests as needed • Represent Medical Management in applicable activities and system user groups • Attend organization-wide and department meetings • Maintain professional growth through self-directed learning and professional, civic, and community involvement • Perform other duties assigned by Intake and Outreach Coordination leadership

🎯 Requirements

• Associates’ degree or equivalent relevant work experience • Two plus years of experience in a business environment • Managed care/health industry environment experience preferred • Exceptional internal and external customer service skills • Ability to work in clinical and company databases • Excellent verbal and written communication skills • Proficiency and accuracy in performing data entry tasks in multiple applications • Ability to identify urgent situations and follow appropriate protocol • Ability to manage multiple priorities and operate independently and in partnership with other departments • Strong organizational and problem-solving skills • Attention to detail • Excellent interpersonal skills • Ability to work under normal office conditions and from home as required • Ability to use a telephone/headset and PC/keyboard simultaneously and sit for extended durations

🏖️ 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 • Variable pay eligibility

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