Intake Coordinator

RESPONSIBILITES

• Obtain requests from provider, member or pharmacy via fax or mail.

• Use multiple software systems and various resource sites to determine the type of request (member or provider appeal).

• Build cases in the online processing system.

• Identify if the submission is additional information received for a current case. When necessary, forward to the responsible analyst.

• Ensure accuracy of data entry o prevent compliance and/or downstream process issues.

• Sort and scan incoming mail, and mail correspondence to members and/or providers.

• Complete outbound calls when additional information is required.

• Identify expedited appeals based on key terms/phrases.

• Save medical information to disk.

• Other duties as assigned.

QUALIFICATIONS

• 1 year of experience working in the Healthcare Industry

• Excellent oral and written communication skills.

• Proficient in data entry

• Experience with Microsoft Office Suite (Word, Excel and Outlook)

• Excellent attention to detail

• Skilled in problem solving and decision making

Experience: 0-2 years