Utilization Review Intake Coordinator

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

📋 Description

• Prepare and pre-open electronic medical case files for Healthcare Professionals.

• Scan, index, categorize, label, and upload medical records and files to Utilization Review or Medical Case Management cases.

• Transition between responsibilities related to indexing and intake.

• Execute end-to-end processing of Utilization Review referrals, from indexing to Healthcare Professional assignment.

• Assist administrative personnel with overflow tasks, including word processing, data entry, and internet research.

• Separate and organize both hard-copy and soft-copy medical files and documents.

• Manage referrals with specific deadlines and forward reviews to Healthcare Professionals.

• Collect medical files and documents for scanning, indexing, and uploading to the web-based Utilization Review case management system.

• Conduct extensive data entry tasks.

• Handle incoming calls and assist callers with professional, credible, pleasant, and sincere telephone etiquette.

• Engage professionally with nurses, insurance adjusters, and other medical professionals.

• Address routine customer and public inquiries or complaints; refer non-routine, sensitive, or complex issues to the appropriate staff.

• Process Utilization Review referral forms received from EK Health Services.

• Enter Utilization Review referrals into EK Health Services software and handle case assignments.

• Perform additional duties as assigned.

⛳️ Requirements

• High School Graduate or equivalent G.E.D.

• Professional demeanor with excellent written and oral communication skills.

• Strong organizational skills.

• Must be proficient with computers and comfortable using various programs/functions, including MS Word, MS Excel, Email, and the Internet.

• Basic understanding of medical terminology.

• Basic clerical and administrative skills.

• Must demonstrate accuracy and efficiency.

• Must be punctual and reliable.

• Ability to maintain focus and a positive attitude in a fast-paced setting.

• Capability to work with minimal supervision.

• Ability to meet deadlines in a high-pressure, time-sensitive environment.

• Candidate should be able to sit for the majority of an 8-hour day, excluding lunch and break times.

• Candidate must be able to type for the majority of an 8-hour day, excluding lunch and break times.

• Candidate must possess manual dexterity.

• Candidate must be able to speak on the telephone intermittently throughout the day.

• Candidate must be fluent in reading and writing in English.

• Candidate must ensure a safe home office environment.

• Home office must adhere to HIPAA compliance.

• A DSL, fiber, or cable internet connection from home is required; 100 mbps preferred or better.

🏝️ Benefits

• Medical, Dental, and Vision insurance.

• 401K plan.

• Paid Time Off.

• Paid Holidays.

• Monthly Internet Stipend.