Intake Coordinator

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Handle provider inquiries both via phone and electronically regarding preauthorization for inpatient admissions as well as outpatient services and procedures.

• Confirm benefits, eligibility, and the status of provider networks.

• Uphold and enhance a positive company image through telephonic and electronic interactions with both internal and external customers.

• Achieve performance targets set for staff and units, along with departmental productivity objectives.

• Collect member clinical information, input relevant case details, and adhere to departmental protocols for service authorization.

• Transfer cases and clinical information to the appropriate Utilization Review team when the approval cannot be granted as per process.

• Oversee authorizations to reduce healthcare disruptions, standardize decision timelines, and meet the needs of providers and members.

• Handle verbal notifications and written documentation in accordance with regulatory and operational standards.

• Stay informed about business lines, applicable laws and regulations, data exchange code sets, medical terminology, computer systems, and Care Management and URAC policies and procedures.

• Complete special assignments and projects as directed by management.

• Adhere to laws and regulations relevant to job responsibilities.

• Perform additional job-related tasks within the defined scope of responsibilities.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• Minimum of 1 year of call center experience or prior knowledge of health insurance pre-service authorization is required.

• Exceptional listening, reading, comprehension, and both oral and written communication skills.

• Strong organizational and interpersonal abilities.

• Capability to multitask, work independently, and prioritize various customer concerns.

• Proficient in Microsoft Word and Excel.

• Familiarity with medical terminology is essential.

• Ability to communicate verbally over the phone in a call center setting approximately 95% of the time.

• Must be able to sit at a desk and handle calls for extended periods with predetermined breaks.

• Experience with Facets is preferred.

• Must be authorized to work for Louisiana Blue in the United States without requiring employer-sponsored immigration support.

• Successful completion of background checks and pre-employment drug screening is required.

🏝️ Benefits

• Access to resources that promote wellness and health.

• Opportunities for ongoing learning and skill enhancement.

• Potential for professional advancement.

• Chance to contribute to local communities.

• A smoke- and tobacco-free workplace environment.

• Background checks and pre-employment drug screenings are part of the process.