Medical Intake Coordinator

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A Medical Intake Coordinator job in San Antonio, TX is available courtesy of Adecco Medical & Science. This position is responsible for the daily coordination of UM processes in the Intake Call Center. This position serves as the initial intake of pre-service requests, claim reviews and inpatient hospital coordination and diabetic supplies. Coordinates UM processes with Medical Directors, UM Nurses, hospitals, physicians and other various departments. Provides clerical support to clinical staff in their medical necessity review process. UM Coordinator is expected to maintain production and quality standards. This is a contract position ONLY starting in December and will continue until February 2020. The hours are Monday-Friday from 9:00am-6:00pm.

Job Responsibilities:

Managing authorizations/notifications and other service requests received via incoming high volume phone calls, faxes and portal submission
Providing excellent customer service, including the ability to handle escalated callers.
Determining authorization or notification requirements
Preparing authorization cases for Medical Directors, UM Nurses and Case Managers
Handling expedited authorizations, authorization updates and status checks
Confirming member eligibility
Responsible for outreaches to providers and/or Patient to complete authorization requests and prescriptions.
Maintaining knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
Utilizing experience and judgement to plan, accomplish goals and effectively resolve each assigned task.
Non-Clinical staff is not responsible for conducting any UM activity that requires interpretation of clinical information.

Qualifications & Skills:

Minimum of High School diploma or Associate's Degree.
One or more year’s previous related experience in any of the following or combination thereof: healthcare, call center, and/or customer service setting using the telephone and computer as the primary instrument to perform job duties.
Medical Terminology, ICD-9/ICD-10 and CPT Knowledge.
Proficiency with Microsoft Office applications required, i.e Excel, Access, Outlook.
Ability to work the hours of 9am-6pm Monday-Friday and the hours of 8am-5pm on rotating weekends and holidays.

If you are interested in this Medical Intake Coordinator job in San Antonio, TX then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com.


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Reference number US_EN_2_102814_334264