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Intake specialist Jobs in Aurora co

Last updated: 17 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
Hubspot Devops Engineer

Hubspot Devops Engineer

Legal Intake Pros LLCRemote, CO
$25.00–$30.00 hourly
Remote
Show moreLast updated: 24 days ago
  • Promoted
Case Manager - Intake

Case Manager - Intake

Developmental PathwaysAurora, CO, United States
$22.24–$24.46 hourly
Show moreLast updated: 5 days ago
  • Promoted
Intake / Access Case Manager- Temporary

Intake / Access Case Manager- Temporary

The Salvation ArmyAurora, CO, United States
$26.00 hourly
Full-time
Show moreLast updated: 5 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
Patient Intake / Scheduling Coordinator – Administrative Assistant II

Patient Intake / Scheduling Coordinator – Administrative Assistant II

University of ColoradoAurora, US
$39,060.00–$45,314.40 yearly
Show moreLast updated: 30+ days ago
  • Promoted
Customer Service Intake Specialist

Customer Service Intake Specialist

VirtualVocationsAurora, Colorado, United States
Full-time
Show moreLast updated: 4 days ago
  • Promoted
SUD Intake Counselor

SUD Intake Counselor

University of Colorado Anschutz Medical CampusAurora, CO, United States
$56,556.00–$71,939.00 yearly
Full-time
Show moreLast updated: 30+ days ago
Sr Information Security Officer (Sr. Central Intake Lead)

Sr Information Security Officer (Sr. Central Intake Lead)

Bank of AmericaDenver
Full-time
Show moreLast updated: 30+ days ago
Intake Specialist – Denver, CO

Intake Specialist – Denver, CO

Snelling StaffingDenver, Colorado
$20.00 hourly
Show moreLast updated: 30+ days ago
Intake Therapist PRN

Intake Therapist PRN

Springstone, Inc.Englewood, Colorado, US
Show moreLast updated: 30+ days ago
Patient Intake Advocate II

Patient Intake Advocate II

InogenAurora, CO, US
Remote
Full-time
Show moreLast updated: 30+ 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: 4 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
Patient Intake Coordinator

Patient Intake Coordinator

Serenity HealthcareCherry Creek, CO, US
$22.00 hourly
Full-time
Quick Apply
Show moreLast updated: 30+ 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: 17 hours ago
Social Caseworker B - Intake

Social Caseworker B - Intake

Arapahoe CountyAurora, CO, US
$60,625.76–$74,336.60 yearly
Show moreLast updated: 30+ days 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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