Associate Intake Coordinator

Job description

Company: Highmark Inc. Job Description: JOB SUMMARY This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization. ESSENTIAL RESPONSIBILITIES: Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a detailed script and desk level procedure, and appropriately log result within the platform. Obtain triage task from Utilization Management platform and follow a detailed desk level procedure to enter the required fields to set up the case build (data entry) and set the urgency of the case creation for the Intake Coordinator. Other duties as assigned or requested. EXPERIENCE: Required: 1 year of Healthcare experience 1 year of Customer Service experience Preferred: 1 year of Call Center experience SKILLS: Possess 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 proces...