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: - None Preferred: - 1 year of Customer Service experience - 1 year of Call Center experience - 1 year of Healthcare experience SKILLS: - Possess good written and oral telephonic communication skills - Ability to navigate through multiple systems simultaneously - Knowledge of administrative and clerical procedures and sy...