Intake Coordinator

Intake Coordinator

Intake Coordinator

Job-Type: This is a remote/work from home (WFH), full-time direct hire position. Work authorization: US Citizen or US Green Card only Pay: $17.00 per hour Training: Employees must be able to work M-F 9:30 am- 6 pm ET during our 10-12 day training program followed by 1 week of OJT (on the job training). Post training shifts may vary. All training will be conducted virtually from your home. Post Training: After training, this position is full-time (40 hours/ week) with variable (varying) shifts to support our 7 am - 7pm CT, 7 days per week operations. Must be able to work on a weekend day.

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. Under the supervision of the Network Operations Supervisor, the Intake Coordinator is responsible for the daily coordination of Network Ops processes in the Intake Call Center. This position serves as the initial intake of pre-service requests, claim reviews and inpatient hospital coordination and diabetic supplies. The Intake Coordinator is expected to maintain production and quality standards as well as:

• Manage authorizations, notifications and other service requests received via incoming phone calls, faxes and portal submission
• Provide excellent customer service, including the ability to handle escalated callers
• Determine authorization or notification requirements
• Prepare authorization cases for Medical Directors, Network Operations Nurses and Case Managers
• Provide clerical support to clinical staff in their medical necessity review process handling expedited authorizations, authorization updates and status checks
• Confirm member eligibility
• Outreach to providers and/or patient to complete authorization requests and prescriptions
• Maintain knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
• Utilize experience and judgement to plan, accomplish goals and effectively resolve each assigned task

Requirements:

• Minimum of a High School Diploma or GED
• 1+ years of professional experience in an office or healthcare environment
• Must have proficiency in typing
• Prior customer service experience with inbound/outbound calls
• Experience working with Microsoft Office Products (Outlook, Word, Excel)
• Ability to work an eight (8) hour shift Monday-Friday between 7am- 7pm CT
• Flexibility to work outside standard hours of operations due to changing business needs
• Must have a designated work area established that is separate from other living areas and can be secured to maintain PHI or PI security in line with UnitedHealth Group policies and standards

Mandatory Skills: Claims_Processing

The expected compensation for this role ranges from $25,000 to $50,000. Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.