3 Intake coordinator Jobs in Gulfport, MS
Highmark Health is Hiring an Intake coordinator Near Gulfport, MS
Description
JOB SUMMARY
This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review.
Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements.
The requests may come via fax or phone, and at times may require follow-up calls with physicians or pharmacists.
ESSENTIAL RESPONSIBILITIES
- Gather all required documentation including verification of benefit eligibility. Build cases in the utilization management system.
- Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and / or pharmacist.
At times, contact by phone members, providers and / or pharmacists to obtain additional information.
- Ensure accuracy of data entry to prevent compliance and / or downstream process issues.
- Other duties as assigned.
EDUCATION
Required
High School Diploma / GED
Substitutions
None
Preferred
None
EXPERIENCE
Required
- 1 - 3 years of Customer Service experience
- 0 - 1 year of experience working in the Healthcare Industry
Preferred
0 - 1 year of experience working in the Health Insurance Industry
LICENSES AND CERTIFICATIONS
Required
None
Preferred
None
SKILLS
- Oral & Written Communication Skills
- Telephone Skills
- Problem Solving & Decision Making
- Compliance
- Healthcare Industry
- Health Insurance
Language (Other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Rarely
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products / services (sales employees)
Never
Physical work site required
Lifting : up to 10 pounds
Occasionally
Lifting : 10 to 25 pounds
Rarely
Lifting : 25 to 50 pounds
Rarely
Pay Range Minimum : $16.75
$16.75
Pay Range Maximum : $24.08
$24.08
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()
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Last updated : 2024-04-07
Job Summary
Full Time
Elementary & Secondary Education
$48k-62k (estimate)
04/09/2024
07/03/2024
highmarkhealth.org
ROSEVILLE, CA
15,000 - 50,000
BRAD KRINKE
<$5M
Elementary & Secondary Education
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About Highmark Health
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of... diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. To learn more, please visit www.highmarkhealth.org
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The job skills required for Intake coordinator include Customer Service, Data Entry, Problem Solving, Written Communication, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be an Intake coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Intake coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Intake coordinator positions, which can be used as a reference in future career path planning. As an Intake coordinator, it can be promoted into senior positions as a Behavior Analyst that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Intake coordinator. You can explore the career advancement for an Intake coordinator below and select your interested title to get hiring information.
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