Intake Coordinator - SelectHealth

Job description

Job Description: Select Health is a community health plan serving more than 1 million members. Select Health’s line of businesses include Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded Commercial Employer plans. The Intake Coordinator provides superior customer service to all inquiries and questions regarding preauthorization for members, providers, facilities, vendors, other departments and teams. Uses data and process to identify members in need of Care Management and takes the appropriate action to refer the member to our Care Management program. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings Essential Functions Receives incoming calls from members, providers, facilities, vendors, and other departments while providing professional solutions and information for situations and problems. Follow established guidelines to complete pre-authorizations for members and providers. Makes outbound calls as needed to obtain information for compliance with NCQA, CMS or other regulatory guidelines for completion of utilization review preauthorization service requests or concurrent reviews in a timely manner. Completes report assignments in designated time frames. Reviews inpatient facility census and makes referrals to Care Manager as appropriate. Complies with established auditing criteria for calls and pre-authorizations. Stays current and conversant on customer service call audit criteria as well as preauthorization and care management guidelines to provide accurate information, and follows all applicable regulatory guidelines (NCQA, CMS, State Medicaid). Skills Customer Service Computer Literacy Computer Systems Telephone Communications Attention to Details Referrals Typing Problem Solving Teamwork Positive Attitude Qualifications Minimum Qualifications Experience in medical office / insurance, or health related customer service. Experience must include taking incoming or making outgoing telephone calls in a professional environment. Experience working successfully in a remote environment. Demonstrate proficiency using Microsoft Office Suite, including Teams (chat, whiteboard, task tracking) & Outlook; Capable of troubleshooting internet connection, basic computer hardware set-up, ability to customize computer settings and use multiple monitors. Preferred Qualifications Knowledge of medical terminology or medical background. Ability to work independently, demonstrates flexibility, and be self-motivated with a positive attitude. Physical Requirements Ongoing need for employees to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with colleagues and providers require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. May be expected to sit or stand in a stationary position for a long time. Location: SelectHealth - Murray Work City: Murray Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $20.35 - $30.97 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here . By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.