Associate Intake Coordinator

Job Opportunity At Highmark Inc.

Job Summary: This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization.

Essential Responsibilities:

Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a detailed script and desk level procedure, and appropriately log result within the platform.

Obtain triage task from Utilization Management platform and follow a detailed desk level procedure to enter the required fields to set up the case build (data entry) and set the urgency of the case creation for the Intake Coordinator.

Other duties as assigned or requested.

Experience:

Required: None

Preferred: 1 year of Customer Service experience, 1 year of Call Center experience, 1 year of Healthcare experience

Skills:

Possess good written and oral telephonic communication skills

Ability to navigate through multiple systems simultaneously

Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax

Ability to interact well with peers, supervisors, and customers

Education:

Required: High School Diploma

Preferred: None

Licenses or Certifications:

Required: None

Preferred: None

Language (Other than English): None

Travel Requirement: 0% - 25%

Physical, Mental Demands and Working Conditions:

Position Type: Office- or Remote-based Physical work site required

Travel Required: 0% - 25%

Audible Speech: Frequently Hear

Position Self or Move Lower on Ground: Occasionally

Climb: Occasionally

Drive: Never

Reach: Occasionally

Sedentary Position: Constantly

Move: Occasionally

Repetitive Motion: Constantly

Use Hands/Fingers to Handle or Feel (beyond data entry): Occasionally

Vision - Distinguish Color: Occasionally

Vision - Far, near, Depth Perception: Occasionally

Lifting: up to 10 pounds Occasionally, up to 20 pounds Constantly, up to 50 pounds Occasionally, in excess of 50 pounds Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Pay Range Minimum: $19.01

Pay Range Maximum: $24.19

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.