Clinical Intake Analyst I - R-4535_40483885656_12-4185

at Cambia Health Solutions in Pocatello, Idaho, United States

Job Description Clinical Intake Analyst I
Remote within WA, OR, ID, UT must reside within the 4 states.
Outside of the 4 States will not qualify.
Primary Job Purpose:
The Clinical Intake Analyst I acts as the initial point of receipt for all incoming work for the Clinical Service Operations teams (includes documents related to Utilization Management, Care Management, Disease Management and Appeals). Manages timeliness and organization of work received in multiple ways and locations, images work in to the system, and insures HIPAA and privacy standards are met for all incoming documents. Utilizes knowledge and experience to triage the work and determine the nature of the inquiry and correct work assignment. This role does not have a flexible schedule. It may require weekends, and over time.
Responsibilities:

• Uses appropriate tools and systems to research incoming documents related to utilization management (UM), case management (CM), disease management (DM), provider and member appeals.
  
• Uses knowledge of member benefits, UM, CM, DM, and appeals and research to correctly identify the correct work type and appropriate workflow process.
  
• Manages workloads by distributing the work in a way that work can be completed within necessary timeframes.
  
• Images documentation to comply with HIPAA and privacy laws.
  
• Manages high volumes of inquiries on a daily basis; is able to multitask, prioritizing and asking for assistance as necessary.
  
• Adheres to department standards for quality, timeliness, and department processes and procedures.
  
• Supports Performance Guarantees by providing coverage for urgent/expedited appeals on long weekends.
  
• Performs basic administrative functions such as: Requesting maintenance or repairs for office equipment; Maintaining inventory, supplies and files; and, Assisting with mailing correspondence.
  

Minimum Requirements:

• Effective communication and basic writing skills.
  
• General computer knowledge (e.g. Microsoft Office products such as Word, Excel, Outlook, and Internet search).
  
• General organization, data entry and administrative skills.
  
• Basic knowledge of medical terminology. Familiarity with health care benefits, systems and documentation.
  
• Ability to evaluate clinical documents and forward to others for resolution.
  
• Ability to adapt to a fast-paced environment and learn, retain, and interpret new or evolving information, and processes.
  
• Demonstrated ability to work with limited supervision to prioritize work, meet deadlines and achieve operational standards.
  
• Ability to work effectively in a team environment.
  

Normally to be proficient in the competencies listed above
The Clinical Intake Analyst I would have a High School Diploma or GED and general office experience plus 1 year of experience in Regence Customer Service or equivalent combination of education and experience.
#LI-remote
Work Environment:

• No unusual working conditions.
  
• May be required to work overtime and weekends.
  

The starting base pay for the Clinical Intake Analyst I is $20.00 - $24.00 an hour depending on experience and geographical location. The current full salary range for this role is $16.20 - $28.15 an hour.
The bonus target for this position is 5%.
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:

• medical, dental, and vision coverage for employees and their eligible family members
  
• annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
  
• paid time off varying by role and tenure in addition to 10 company holidays
  
• up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)
  
• up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
  
• one-time furniture and equipment allowance for employees working from home
  
• up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.
  

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site. To view full details and how to apply, please login or create a Job Seeker account