Scope:
The Intake Coordinator, via incoming calls, emails, faxes or website, assists with the computer intake of all demographics information on the patient/member and determine whether services requested require precertification based on the employer?s / Third Party Administrator?s contract with MedWatch based on NCQA, URAC and state standards.
Duties and Responsibilities:
? Handle all incoming MedWatch calls (i.e., start cases, do call logs, forward calls, provide case status, provide claims phone #?s, etc.)
? Make outgoing calls for MedWatch (demos, information for case completion, re-direction for network steerage, etc.)
? Make outgoing calls for Bill to Dates and Discharge dates for the nurses.
? Complete incoming electronic Web-certs.
? Send out CM Reports/Invoices
? Send out Path letters for MW cases.
? Handle incoming Path letter responses.
? Attach and distribute faxes ? 250 to 400 per day (sometimes entails opening cases from faxes)
? Check to see if there are any miscellaneous requests from nurses in emails (regarding cases to be opened, changes made to info in cases, etc.)
? Check CM Inbox to see if there are any emails that need to be addressed (i.e., new CM case opened, answering questions regarding UR procedures, etc.)
? Verify patient and provider demos ? correct and/or complete when needed.
? Handle fax failures, researching fax #?s and re-faxing manually when necessary.
? Create cheat sheets, documents, spreadsheets, correspondence, etc?
? Handle mailing for UR, CM and DM
? Monitor the Admin/TSHBP/Paths pages in MW-CMS system and handle the cases on there accordingly (path entries, re-sending paths to correct fax # when contact card is set to mail, determining if records attached require further review by a nurse or Concierge, determining if a case needs opened, etc.)
Knowledge, Skills & Abilities:
? Bilingual (Spanish) a plus.
? Pass a background check and provide references.
? Excellent data entry and typing skills.
? Basic Computer skills/proficient in relevant computer applications
? Medical Terminology
? Ability to handle multiple complex tasks simultaneously with attention to detail and accuracy.
? Knowledge of customer service principles and practices
? Verbal, written and listening communication skills.
? Stress tolerance and teamwork
Education:
High School diploma or GED required. Associates degree preferred, but not required.
Experience:
? Medical Intake experience a plus
? Some experience in a call center or customer service environment
This pay rate for this position is $15.00 to $16.50 hourly.
Work Environment / Physical Demands: This position is in a typical office/home office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. E.O.
We are an Equal Opportunity Employer, including disability/vets.