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.

Schedule

This is a part-time position, daytime hours with rotating weekend shift every3-4 weeksThis is a remote position with one day in office every 6-7 weeks as needed.

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 ServiceComputer LiteracyComputer SystemsTelephone CommunicationsAttention to DetailsReferralsTypingProblem SolvingTeamwork

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:

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:

24

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$19.27 - $29.33

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 packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado and Montana based caregivers.

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.

All positions subject to close without notice.