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Intake coordinator Jobs in Arvada co

Last updated: 16 hours ago
Intake Coordinator

Intake Coordinator

Highmark HealthCO, Working at Home, Colorado
$26.88 hourly
Full-time
Show moreLast updated: 30+ days ago
New Business Intake Analyst

New Business Intake Analyst

Fox RothschildDenver, CO, US
$60,000.00–$75,000.00 yearly
Full-time
Show moreLast updated: 30+ days ago
Training Coordinator

Training Coordinator

Qualis CorporationDenver, CO, US
Full-time
Quick Apply
Show moreLast updated: 30+ days ago
Intake and Outreach Coordinator

Intake and Outreach Coordinator

Volunteers of America ColoradoDenver
$20.00–$22.00 hourly
Show moreLast updated: 30+ days ago
  • Promoted
Homeowner Legal Intake Specialist

Homeowner Legal Intake Specialist

Community Economic Defense ProjectDenver, CO, US
$67,500.00 yearly
Full-time
Show moreLast updated: 10 days ago
  • Promoted
RN REGISTERED NURSE INTAKE BEHAVIORAL UNIT FT EVENINGS

RN REGISTERED NURSE INTAKE BEHAVIORAL UNIT FT EVENINGS

AdventHealthDenver, CO, United States
Full-time
Show moreLast updated: 2 days ago
  • Promoted
Administrative Coordinator / Program Coordinator

Administrative Coordinator / Program Coordinator

Paul DavisDenver, CO, United States
Full-time
Show moreLast updated: 4 days ago
  • Promoted
Project Coordinator

Project Coordinator

D.H. Pace Company, Inc.Denver, CO, US
$24.00 hourly
Show moreLast updated: 30+ days ago
  • Promoted
  • New!
UR Intake Coordinator

UR Intake Coordinator

VirtualVocationsDenver, Colorado, United States
Full-time
Show moreLast updated: 16 hours ago
Patient Intake Coordinator

Patient Intake Coordinator

Serenity HealthcareLakewood, CO, US
$22.00 hourly
Full-time
Quick Apply
Show moreLast updated: 30+ days ago
  • Promoted
Licensed Intake Clinician - Admissions - Weekend Part-Time or PRN

Licensed Intake Clinician - Admissions - Weekend Part-Time or PRN

Acadia HealthcareWestminster, CO, United States
$25.00–$47.00 hourly
Part-time
Show moreLast updated: 27 days ago
Part Time Intake Coordinator - Fridays, Saturdays & Mondays

Part Time Intake Coordinator - Fridays, Saturdays & Mondays

Bloom HealthcareLakewood, CO, US
$27.00–$31.00 hourly
Part-time
Quick Apply
Show moreLast updated: 25 days ago
Intake Specialist – Denver, CO

Intake Specialist – Denver, CO

Snelling StaffingDenver, Colorado
$20.00 hourly
Show moreLast updated: 30+ days ago
  • Promoted
Licensed Intake Clinician - Admissions - Weekend Part-Time or PRN

Licensed Intake Clinician - Admissions - Weekend Part-Time or PRN

Acadia Healthcare Inc.Westminster, CO, United States
$25.00–$47.00 hourly
Part-time
Show moreLast updated: 27 days ago
Law Firm Intake Specialist

Law Firm Intake Specialist

RP DEFENSE LAW, APCRemote, CO
Remote
Full-time
Show moreLast updated: 20 days ago
Community Liaison & Intake Specialist

Community Liaison & Intake Specialist

FreedomCareDenver, CO
$19.23–$26.44 hourly
Show moreLast updated: 30+ days ago
  • Promoted
Account Coordinator

Account Coordinator

CYB Human ResourcesDenver, Colorado, USA
$19.50 hourly
Full-time
Show moreLast updated: 21 days ago
  • Promoted
Personal Injury Intake / Case Manager - Pre-litigation

Personal Injury Intake / Case Manager - Pre-litigation

Clifford J Enten PCDenver, CO, US
$50,000.00–$70,000.00 yearly
Full-time
Show moreLast updated: 4 days ago
  • Promoted
  • New!
LCSW / LPC Substance Use Program Intake Counselor

LCSW / LPC Substance Use Program Intake Counselor

Denver HealthDenver, CO, United States
$81,900.00–$97,800.00 yearly
Full-time
Show moreLast updated: 21 hours ago
  • Promoted
EMT Coordinator

EMT Coordinator

HCA HealthOneDenver, CO, US
$20.13–$28.19 hourly
Full-time +1
Show moreLast updated: 1 day ago
Intake Coordinator

Intake Coordinator

Highmark HealthCO, Working at Home, Colorado
30+ days ago
Salary
$26.88 hourly
Job type
  • Full-time
Job description

Description

JOB SUMMARY

  • This position requires the candidate to work Sunday's as part of their assigned shifts

This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax or phone, and at times may require follow-up calls with physicians or pharmacists.

ESSENTIAL RESPONSIBILITIES

  • Obtain requests from provider or pharmacy via phone, fax, or provider portal (online). Use multiple software systems and various resource sites to determine member plans and requirements.. Gather all required documentation including verification of benefit eligibility. Build cases in the utilization management system.
  • Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and / or pharmacist. At times, contact by phone members, providers and / or pharmacists to obtain additional information.
  • Ensure accuracy of data entry to prevent compliance and / or downstream process issues.
  • Other duties as assigned.
  • EDUCATION

    Required

  • High School Diploma / GED
  • Substitutions

  • None
  • Preferred

  • None
  • EXPERIENCE

    Required

  • 1 - 3 years of Customer Service experience
  • 0 - 1 year of experience working in the Healthcare Industry
  • Preferred

  • 0 - 1 year of experience working in the Health Insurance Industry
  • LICENSES AND CERTIFICATIONS

    Required

  • None
  • Preferred

  • None
  • SKILLS

  • Oral & Written Communication Skills
  • Telephone Skills
  • Problem Solving & Decision Making
  • Compliance
  • Healthcare Industry
  • Health Insurance
  • Language (Other than English)

    None

    Travel Required

    0% - 25%

    PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

    Position Type

    Office-Based

    Teaches / trains others regularly

    Rarely

    Travel regularly from the office to various work sites or from site-to-site

    Rarely

    Works primarily out-of-the office selling products / services (sales employees)

    Never

    Physical work site required

    Lifting : up to 10 pounds

    Occasionally

    Lifting : 10 to 25 pounds

    Rarely

    Lifting : 25 to 50 pounds

    Rarely

    Pay Range Minimum : 19.27

    Pay Range Maximum : 26.88

    Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.

    EEO is The Law

    Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()

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