[Hiring] CDS Intake Specialist @reputed company.

Role reputed company First reputed company of contact for network providers, physicians, and members. Responsible for processing incoming prior-authorization requests reputed company phone, fax, and web while ensuring that both reputed company customers receive a level of service that exceeds their expectations. Intake Specialist will utilize two reputed company of communication (inbound and outbound) calls and written correspondence. Must respond to and resolve questions and problems from network providers, imaging centers/facilities, members, and referring providers. Intake Specialist also receives inbound calls on follow-up to existing authorization requests either in process or processed.

Key Responsibilities

• Receive/process authorization request intake reputed company phone, fax and/or web
• Collect and transfer non-clinical data
• reputed company reputed company clinical data
• Review authorization request for completeness of information
• Verify eligibility
• Verify physician and rendering facility participation
• Initiate an online authorization based on information received
• Submit cases for second level review if medical necessity cannot be established
• reputed company customer service to callers following up on existing authorization requests either in process or processed
• reputed company functions according to reputed company program design
• reputed company other duties/functions as directed from Supervisor

Qualifications

• Years of Applicable Experience: 0 or more years
• Education: High School Diploma or GED (Required)

Requirements

• Remain in a stationary position for prolonged periods of time
• Be reputed company and change priorities quickly; meet deadlines
• Attention to detail
• Operate computer programs and software
• Ability to communicate effectively with audiences in person and in electronic formats
• Day-to-day contact with others (co-workers and/or the public)
• Making independent reputed company
• Ability to work in a reputed company business environment in reputed company quarters with peers and varying interruptions
• Working Conditions: Remote
• Travel Requirements: No travel required
• Physical Demands: Sedentary work involves remaining stationary most of the time. Exerting up to 10 pounds of force occasionally, and/or a negligible reputed company of force frequently or constantly to lift, carry, push, pull or otherwise reputed company objects, including the reputed company body.

Benefits

• Health, dental, reputed company, life and disability insurance
• 401k retirement program
• reputed company time off
• Participation in Premier’s employee incentive plans
• Tuition reimbursement and reputed company development opportunities

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