Clinical Intake Specialist

Position Location: 100% remote

Responsibilities

• Perform all tasks in accordance with Department of Labor, HIPAA, ERISA and Medical Management Policy and Procedure
• Utilize computer software/hardware and other office equipment to consistently and accurately enter data to complete the notification process in compliance with Medical Management Notification Policy and Procedures
• Appropriately prioritize calls received in the telephonic intake queue
• Refer to licensed clinical staff for oversight if interpretation of clinical information is needed
• Accurately identify and provide HIPAA compliant information to callers regarding medical services requiring notification per Medical Management Notification Policy and Procedure
• Complete data entry of notification and obtain clinical information and/or results of diagnostic testing as indicated per the Medical Management Notification Policy and Procedure
• Contact provider/facility to confirm the date of service, as indicated per Medical Management Notification Policy & Procedure, with appropriate documentation in case tracking software in compliance with Medical Management Policy and Procedures
• Consistently complete appropriate documentation in indicated software including but not limited to CaseTrakker, GBAS and Docushare per Medical Management Policy and Procedures
• Consistently demonstrate engagement in professional conversation in all internal and external communication (verbal and/or electronic)
• Attend scheduled and periodic meetings, trainings, and other job-specific events as required either by teleconference or onsite
• Participation in Quality Management program per policy and procedures
• Report preparation as assigned
• Consistently utilize script communication

Requirements

• High School Diploma or equivalent
• Prior experience working in a remote environment
• Prior experience working in a heavy volume setting
• Experience with medical terminology

Benefits

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives