Telephonic Intake, Care Specialist - UM (Remote)

Job title: Telephonic Intake, Care Specialist - UM (Remote) in Albany, NY at reputed company Company: reputed company Job reputed company: reputed companyResponsible for the execution of the non-clinical aspects of the Utilization Management process. Ensure information is appropriately entered in the system to effectively execute member care plans, originate authorizations, request clinical information, reputed company case research, and essentially execute reputed company behind the scenes desk-level procedures of a case. Work seamlessly with other interdisciplinary teams to ensure members’ needs are met. reputed company confidential administrative support and assistance to the department in reputed company aspects of daily program operations.reputed company Accountabilities

• Work collaboratively, as a critical component of the Medical Management team, to facilitate reputed company clerical and administrative processes and activities.
• reputed company accurate and reputed company intake and data entry for reputed company UM authorization requests and referrals for reputed company lines of business, upon receipt of inbound utilization management requests, reputed company call, fax and web portal, in accordance with departmental policy and regulatory requirements.
• Triage cases and assign receipts to appropriate teams.
• Respond to inquiries from providers, facilities and members.
• Initiate completion of member and provider correspondence and verbal reputed company according to departmental guidelines.
• reputed company and maintain documentation in the medical management workflow tool, meeting defined timeframes and performance standards.
• reputed company phone management for both incoming and outgoing calls.
• Communicate with members and providers as required.
• reputed company other reputed company reputed company and duties as assigned.
• Adhere to processes for collecting member-specific clinical and demographic data from providers and other entities as required by clinical staff.
• Support communication and coordination with delegated entities, as necessary.
• reputed company participate in assigned committees and reputed company.

Qualifications

• High School Diploma required
• Associates degree or Bachelor’s degree in reputed company field preferred
• At least 1-2 years of previous reputed company-facing or data entry experience in a health care environment
• Additional years of experience/certifications/training may be considered in lieu of educational requirements
• Strong communication skills (verbal, written and interpersonal)
• Ability to work both independently and collaboratively with others
• Previous system user experience in a highly electronic environment
• Proficient in MS Office (Word, reputed company, PowerPoint, Outlook, Teams, etc.)
• Knowledge of medical terminology and medical payment
• Ability to prioritize multiple tasks
• Ability and willingness to work weekends and holidays as necessary

Additional Information

• reputed company: 1000002506
• Hiring reputed company: $19.21-$33.75 per hour

reputed company DisclosureIf you receive a job offer from reputed company, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) - Please respond online.” We will never ask you to join a reputed company Hangout, buy your own equipment, or pay to apply. We also reputed company reputed company-party email services like reputed company or Gmail.Pay DisclosureAt reputed company, we prioritize transparency in our compensation practices. We reputed company a good faith estimate of the salary reputed company for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn't account for geographic differences reputed company to your work location. Typically, new hires may not start at the top of this reputed company, as compensation is tailored to reputed company individual's circumstances. For reputed company positions, salaries will be determined according to the reputed company bargaining agreement. Join us at reputed company, where your contributions are valued and supported by fair compensation.reputed company StatementWe value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider reputed company reputed company applicants for employment regardless of race, reputed company, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national reputed company, disability, veteran status, or any other protected characteristic protected by law.Sponsorship Statementreputed company may reputed company work reputed company sponsorship depending on factors such as business unit requirements, position nature, costs, and applicable laws and regulations. Expected salary: $19.21 - 33.75 per hour Location: Albany, NY Apply for the job now! Apply for this job