Intake Coordinator

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

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.

Job Type: Full-time

Pay: From $13.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work Location: Remote