Intake Representative I

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

📋 Description

• Input specific data and information from physicians’ requests into a medical management authorization system.

• Meet the necessary production quotas and uphold quality standards.

• Validate the demographic information of patients and medical providers, including provider selection by specialty.

• Assess patient eligibility for healthcare benefits, identify Primary Care Manager types, and determine referral/authorization pathways.

• Reach out to medical provider offices via telephone and conduct confirmation calls to patients for urgent requests.

• Make decisions to ensure the referral/authorization process adheres to contractual timeliness standards.

• Redirect patients to the appropriate provider network for necessary care.

• Create concise sentences or paragraphs based on referral/authorization orders.

• Draft correspondence in a business letter format for servicing providers.

• Generate letters while verifying the accuracy of providers, patients, demographics, and service reasons.

• Track personal production using reports that include outcome data.

• Monitor performance, enhance work processes, and prioritize responsibilities.

• Evaluate situations, identify issues, recognize patterns, and formulate solutions.

• Work collaboratively with colleagues to achieve departmental goals and deliver exceptional customer service.

⛳️ Requirements

• Candidates must be residents of the state of Missouri.

• Must be authorized to work in the U.S. without requiring employment-based visa sponsorship, either now or in the future.

• High School diploma or equivalent is required.

• Six months of experience in a production/data entry role within a healthcare-related organization such as managed care, claims/billing, health insurance, customer service, call center, or claims office is preferred.

• Completion of college coursework is preferred.

• A diploma or certification from a medically based trade school is desirable.

• Proficiency in performing alpha and numeric data entry.

• Capability to validate patient and medical provider demographic information.

• Ability to assess patient eligibility, identify Primary Care Manager types, and determine referral/authorization pathways.

• Skill in following step-by-step instructions and contractual standards.

• Competence in drafting brief correspondence in a business letter format.

• Ability to accurately track production and outcome data.

• Skill in reviewing situations, identifying problems, recognizing patterns, and determining solutions.

• Ability to collaborate effectively and provide exceptional customer service.

🏝️ Benefits

• Competitive pay

• Health insurance

• 401K

• Stock purchase plans

• Tuition reimbursement

• Paid time off plus holidays

• Flexible work arrangements including remote, hybrid, field, or office schedules

• Additional incentive programs may be included as part of total compensation

• Equal opportunity employer committed to diversity