Medical Intake Coordinator
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AI Summary
The Intake Coordinator manages incoming calls, emails, and faxes to process patient demographic information and determine precertification requirements. They also perform outgoing calls to verify patient and provider data, coordinate with nurses, and handle administrative documentation tasks.
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. This is a remote position with no requirement to commute to an office.
Education:
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.
We are an Equal Opportunity Employer, including disability/veterans
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. This is a remote position with no requirement to commute to an office.
Education:
- High School Diploma
- 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
- Some experience in a call center or customer service environment
- Verbal, written and listening communication skills
- Stress tolerance and team work
- 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
- Some experience in a call center or customer service environment
- Verbal, written and listening communication skills
- Stress tolerance and team work
- Good organizational skills and time management
- Excellent verbal and written communication skills
- Ability to handle difficult situations tactfully and diplomatically.
- Effective problem solving and decision-making skills.
- Strong computer skills with proficiency in MS Office Suite products (Word, Excel, PowerPoint)
- 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, etc…)
- Make outgoing calls for Bill to Dates and Discharge dates for the nurses
- Complete incoming electronic Webcerts
- Send out CM Reports/Invoices
- Send out Path letters for MW cases
- Handle incoming Path letter responses
- Attach and distribute faxes – anywhere from 100 to 200 per day (sometimes entails opening cases from faxes)
- Make outgoing calls to DMTHR patients introducing nurse and program and transferring case to DM nurse
- Take calls from DMTHR patients explaining program and transferring case to DM nurse
- 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…) [Heather, Michelle, Sherri]
- Verify patient and provider demos – correct and/or complete when needed
- Handle fax failures, researching fax #’s and re-faxing manually when necessary Fax PA Reviews for nurses
- Create cheat sheets, documents, spreadsheets, correspondence, etc…
- Set Follow-up dates for HRA’s in DM
- Make calls to DM patients introducing nurse and program
- Handle mailing for UR, CM and DM
- The incumbent may be responsible for duties or responsibilities that are not listed in this job description. Duties and responsibilities may change at any time with or without notice.
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.
We are an Equal Opportunity Employer, including disability/veterans
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