Randstad Intake Operations Coordinator in Phoenix, Arizona

Intake Operations Coordinator

job details:

  • location:Phoenix, AZ

  • salary:$19 per hour

  • date posted:Wednesday, October 3, 2018

  • experience:1 Years

  • job type:Contract

  • industry:Health Care and Social Assistance

  • reference:442727

job description

Intake Operations Coordinator

job summary:

Serves as a resource advisor for customer issues such as pending referrals. corrections to initial authorizations. escalated calls from providers and assists with ongoing education of providers regarding protocol.

Responsibilities:

  • Processes phone and fax authorization requests for medical services from physicians and hospitals in an efficient. accurate and customer-focused manner.

  • Effectively handles authorization requests via phone or fax from providers. balancing excellent customer service with efficiency

  • Follows appropriate procedures for checking member eligibility. authorization history and provider network participation status

  • Based on the information provided by the provider and gathered from computer systems. determines the appropriate handling of each inpatient or outpatient request

  • Utilizes online tools to determine authorization requirements based on the type of service requested. the location of the service and the provider specifics

  • Accurately enters authorization requests into WellCare?s system

  • Based on the authorization rules and urgency of the request. either approves the authorization request or escalates to a nurse for review

  • Communicates authorization specifics to providers either verbally on phone calls or written through fax

  • Evaluates and prioritizes incoming provider?s requests via phone/fax and/or from other Coordinators

  • Handles problem recognition. Researches and engages the assistance of other departments to help in resolving complex problems

  • Coordinates provider service authorizations of escalated nature for immediate resolution

  • Assists and provides support to coworkers regarding process flow. job and product knowledge in accordance with ongoing training initiatives

  • Completes review of routine reports for Supervisor/Manager (as defined & scheduled by Supervisor/Manager). Works individually with peers as issues are identified. assesses for department trends and takes action accordingly to troubleshoot (working with department Supervisor/Manager & Trainer)

  • Performs other duties as assigned.

Qualifications:

  • A High School diploma or GED

  • 6 months of experience in entry level Intake Coordinator position (pending previous outside experience and current performance)

  • 1+ year of experience in entry level Intake Coordinator position (pending previous outside experience and current performance) Preferred

  • Other call center experience Preferred

  • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Sidewinder Beginner Preferred

  • EMMA Intermediate Required

  • Peradigm (Diamond) Beginner Preferred

  • Microsoft Outlook Intermediate Required

  • Microsoft Excel Beginner Required

  • Microsoft Word Beginner Required

  • Other Ability to manage multiple computer programs to process a single request Intermediate Required

  • Other Proficient in data entry Intermediate

location: Phoenix, Arizona

job type: Contract

work hours: 8 to 5

education: High School

experience: 1 Years

responsibilities:

Serves as a resource advisor for customer issues such as pending referrals. corrections to initial authorizations. escalated calls from providers and assists with ongoing education of providers regarding protocol.

Responsibilities:

  • Processes phone and fax authorization requests for medical services from physicians and hospitals in an efficient. accurate and customer-focused manner.

  • Effectively handles authorization requests via phone or fax from providers. balancing excellent customer service with efficiency

  • Follows appropriate procedures for checking member eligibility. authorization history and provider network participation status

  • Based on the information provided by the provider and gathered from computer systems. determines the appropriate handling of each inpatient or outpatient request

  • Utilizes online tools to determine authorization requirements based on the type of service requested. the location of the service and the provider specifics

  • Accurately enters authorization requests into WellCare?s system

  • Based on the authorization rules and urgency of the request. either approves the authorization request or escalates to a nurse for review

  • Communicates authorization specifics to providers either verbally on phone calls or written through fax

  • Evaluates and prioritizes incoming provider?s requests via phone/fax and/or from other Coordinators

  • Handles problem recognition. Researches and engages the assistance of other departments to help in resolving complex problems

  • Coordinates provider service authorizations of escalated nature for immediate resolution

  • Assists and provides support to coworkers regarding process flow. job and product knowledge in accordance with ongoing training initiatives

  • Completes review of routine reports for Supervisor/Manager (as defined & scheduled by Supervisor/Manager). Works individually with peers as issues are identified. assesses for department trends and takes action accordingly to troubleshoot (working with department Supervisor/Manager & Trainer)

  • Performs other duties as assigned.

Qualifications:

  • A High School diploma or GED

  • 6 months of experience in entry level Intake Coordinator position (pending previous outside experience and current performance)

  • 1+ year of experience in entry level Intake Coordinator position (pending previous outside experience and current performance) Preferred

  • Other call center experience Preferred

  • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Sidewinder Beginner Preferred

  • EMMA Intermediate Required

  • Peradigm (Diamond) Beginner Preferred

  • Microsoft Outlook Intermediate Required

  • Microsoft Excel Beginner Required

  • Microsoft Word Beginner Required

  • Other Ability to manage multiple computer programs to process a single request Intermediate Required

  • Other Proficient in data entry Intermediate

qualifications:

Serves as a resource advisor for customer issues such as pending referrals. corrections to initial authorizations. escalated calls from providers and assists with ongoing education of providers regarding protocol.

Responsibilities:

  • Processes phone and fax authorization requests for medical services from physicians and hospitals in an efficient. accurate and customer-focused manner.

  • Effectively handles authorization requests via phone or fax from providers. balancing excellent customer service with efficiency

  • Follows appropriate procedures for checking member eligibility. authorization history and provider network participation status

  • Based on the information provided by the provider and gathered from computer systems. determines the appropriate handling of each inpatient or outpatient request

  • Utilizes online tools to determine authorization requirements based on the type of service requested. the location of the service and the provider specifics

  • Accurately enters authorization requests into WellCare?s system

  • Based on the authorization rules and urgency of the request. either approves the authorization request or escalates to a nurse for review

  • Communicates authorization specifics to providers either verbally on phone calls or written through fax

  • Evaluates and prioritizes incoming provider?s requests via phone/fax and/or from other Coordinators

  • Handles problem recognition. Researches and engages the assistance of other departments to help in resolving complex problems

  • Coordinates provider service authorizations of escalated nature for immediate resolution

  • Assists and provides support to coworkers regarding process flow. job and product knowledge in accordance with ongoing training initiatives

  • Completes review of routine reports for Supervisor/Manager (as defined & scheduled by Supervisor/Manager). Works individually with peers as issues are identified. assesses for department trends and takes action accordingly to troubleshoot (working with department Supervisor/Manager & Trainer)

  • Performs other duties as assigned.

Qualifications:

  • A High School diploma or GED

  • 6 months of experience in entry level Intake Coordinator position (pending previous outside experience and current performance)

  • 1+ year of experience in entry level Intake Coordinator position (pending previous outside experience and current performance) Preferred

  • Other call center experience Preferred

  • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Sidewinder Beginner Preferred

  • EMMA Intermediate Required

  • Peradigm (Diamond) Beginner Preferred

  • Microsoft Outlook Intermediate Required

  • Microsoft Excel Beginner Required

  • Microsoft Word Beginner Required

  • Other Ability to manage multiple computer programs to process a single request Intermediate Required

  • Other Proficient in data entry Intermediate

skills: MS Office

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.