Senior Intake Coordinator - Remote

Overview

The Senior Intake Coordinator is responsible for handling inbound phone inquiries related to utilization management from providers and pharmacies, ensuring compliance and accuracy in the process.

In Short

• Handle inbound phone requests for Prior Authorization.
• Assess and verify benefit coverage and eligibility.
• Utilize multiple software systems for documentation.
• Ensure compliance with regulatory requirements.
• Make outbound calls and triage cases as needed.
• Capture conversation highlights in the system.
• Evaluate calls for de-escalation when necessary.
• Maintain accuracy in data entry.
• Work in an office-based environment.
• Adhere to company policies and legal standards.

Requirements

• High School Diploma/GED required.
• 3 years of customer service experience required.
• 1 year of experience in the healthcare industry preferred.
• No licenses or certifications required.
• Good written and oral communication skills.
• Able to navigate multiple systems simultaneously.
• Knowledge of administrative procedures.
• Strong problem-solving skills.
• Ability to interact well with peers and customers.
• Ability to assess customer needs and meet service standards.

Benefits

• Competitive salary range based on experience.
• Opportunities for professional development.
• Comprehensive benefits package.
• Supportive work environment.
• Access to health-related resources.