Remote Intake Coordinator - Authorization & Access

Vālenz Health®; Phoenix (AZ); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Medical insurance

401K with employer match

Paid time off

Job summary

Valenz Health is seeking an Intake Coordinator for a fully remote role based in the United States. You will handle inbound calls, faxes, and web requests and initiate the authorization process per health plan policies.

You will document demographics, follow up on discharge information, screen inquiries for required certifications, obtain clinical data, and provide certifications per scripted algorithms while collaborating with internal and external partners.

Qualifications

• 2+ years of experience in high-volume call center or customer support environment.
• High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members.
• Strong problem solving skills.
• Excellent communication skills, both verbal and written.
• GED or High School Diploma.

Responsibilities

• Document demographic information obtained from telephonic, fax, or emailed requests within the care management system.
• Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review.
• Screen inquiries to determine the services that require certification at the time of the inquiry.
• Obtain clinical information and forward the caller to the clinical staff for completion of the review.
• Provide certification based upon scripted clinical algorithms or benchmark Length of Stay.
• Collaborate and effectively communicate with internal and external partners.
• Stay up to date on Summary Plan Documents and other related resources related to service requests.
• Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met.
• Performs other related duties as assigned by supervisor.

Skills

Call center experience

Attention to detail

Excellent communication

Education

GED or High School Diploma

Tools

Microsoft Office Suite

Job description

Valenz Health is seeking an Intake Coordinator for a fully remote role based in the United States. You will handle inbound calls, faxes, and web requests and initiate the authorization process per health plan policies.

You will document demographics, follow up on discharge information, screen inquiries for required certifications, obtain clinical data, and provide certifications per scripted algorithms while collaborating with internal and external partners.