Intake specialist Jobs in Colorado Springs, CO

Last updated: 16 hours ago

Intake Coordinator

Highmark HealthCO, Working at Home, Colorado

$26.88 hourly

Full-time

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 ...Show moreLast updated: 30+ days ago

Promoted

Payroll Specialist

System Soft TechnologiesColorado Springs, CO, United States

Full-time

Three or more years of experience in a similar role, preferably in a high-volume transaction environmentStrong analytical and problem-solving skillsExcellent customer service skills and professiona...Show moreLast updated: 4 days ago

Promoted

Billing Specialist

CotivitiColorado Springs, CO, United States

Full-time

A company is looking for a Billing Specialist responsible for overseeing the billing process for clients.Key ResponsibilitiesReview and process invoices, ensuring accuracy and timelinessGather addi...Show moreLast updated: 1 day ago

Promoted

Billing Specialist

Strive Compounding PharmacyColorado Springs, CO, United States

Part-time

A company is looking for a Billing Specialist (Part-Time) to provide comprehensive support to their billing team.Key Responsibilities : Bi-weekly billing of accountsBalancing statements and auditing ...Show moreLast updated: 1 day ago

Promoted
New!

Lead Social Caseworker - Children, Youth & Family Services (Intake)

El Paso County, COColorado Springs, CO, United States

$66,747.20 yearly

Full-time

AnnuallyLocation : Colorado Springs, COJob Type : Full-TimeRemote Employment : Flexible / HybridJob Number : 2500024Department : Department of Human ServicesDivision : Children, Youth & Family SvcsOpening...Show moreLast updated: 16 hours ago

Promoted

Transition Specialist

The Dale House ProjectColorado Springs, CO, US

$40,000.00–$45,000.00 yearly

Full-time

The Dale House is a Christ-centered community of and for broken people doing life together.This position works closely in relational ministry with youth as they take steps towards living independen...Show moreLast updated: 4 days ago

Promoted

Payroll Specialist

Pearce ServicesColorado Springs, CO, United States

Full-time

A company is looking for a Payroll Specialist to process payroll and maintain payroll records for employees across the United States. Key Responsibilities : Process payroll and manage data in Excel fo...Show moreLast updated: 1 day ago

Intake Receptionist

Joyner LawColorado Springs, CO, US

$18.00–$22.00 hourly

Full-time

Are you looking for a meaningful weekend role in a dynamic and supportive team environment? Joyner Law is hiring!.At Joyner Law, we specialize in compassionate and strategic criminal defense, with ...Show moreLast updated: 3 days ago

Promoted

MEMBER SPECIALIST

Sam's ClubCO, United States

$19.00–$26.00 hourly

Full-time +1

Want to make a lot of people's day? Our Member Frontline Cashier Associates are the heart of our front end.You play a major role in how our members feel in the club and when they leave.You might be...Show moreLast updated: 2 days ago

Billing Specialist

Adventure Learning Behavioral InterventionsColorado Springs, CO, USA

$20.00–$25.00 hourly

Quick Apply

Adventure Learning Behavioral Interventions.The Biller plays a crucial role in our operations, ensuring seamless financial processes and facilitating the accessibility of ABA, SLP, OT, and other th...Show moreLast updated: 30+ days ago

Patient Intake Coordinator

Serenity HealthcareColorado Springs, CO, US

$22.00 hourly

Full-time

Quick Apply

Patient Intake Coordinator Onsite - CO Springs Now more than ever, people are struggling with a variety of mood disorders including but not limited to depression and anxiety.We can help all o...Show moreLast updated: 30+ days ago

Promoted

Acquisition Specialist

SigmatechColorado Springs, CO, United States

$145,000.00–$185,000.00 yearly

Full-time

Job Descriptions : Sigmatech is seeking highly motivated acquisitions professionals to assist in the development, planning, and managment of space system products and services.In this role, contracto...Show moreLast updated: 5 days ago

Promoted

EducationTraining Specialist

destinationone ConsultingColorado Springs, Colorado, USA

Full-time

CleanTech Education and EdTech Government (Municipal State / Provincial and Federal) Health and MedTech Healthcare and Wellness Legal NotForProfit and Public Accounting. We are committed to building a...Show moreLast updated: 9 days ago

Promoted

BREAKFAST SPECIALIST

McDonald'sColorado Springs, CO, United States

Full-time

McDonald's - 7901 WOODMEN CENTER HEIGHTS [Restaurant Associate / Team Member] As a Crew Member at McDonald's, you'll : Greet customers with a smile. Take accurate food order; Prepare all of McDonald...Show moreLast updated: 2 days ago

Promoted

Integration Specialist

Tlingit Haida Tribal Business CorporationColorado Springs, CO

$95,000.00–$105,000.00 yearly

Full-time

The pay listed above is encompassing of a total range, final compensation offered will be dependent upon several factors to include but not limited to years of experience and education within the p...Show moreLast updated: 12 days ago

Authorization Specialist

Colorado ENT and AllergyColorado Springs, CO, USA

$19.50–$23.00 hourly

Full-time

Quick Apply

Our physicians and staff at Colorado ENT & Allergy are widely regarded as the best in the fields of ENT, Allergy, Asthma, Immunology, and Audiology. We have been taking care of patients in South...Show moreLast updated: 8 days ago

Technical Solutions Engineer

Legal Intake Pros LLCRemote, CO

$15.00 hourly

Remote

Full-time

As a Technical Solutions Engineer, you'll play a pivotal role in streamlining our business processes.Your mission will be to design and implement custom integrations, automation, and technical solu...Show moreLast updated: 30+ days ago

Promoted

Acquisition Specialist

Top Secret Clearance JobsColorado Springs, CO, United States

Full-time

About the job Acquisition Specialist.Confident in your technical capabilities and leadership abilities, willing to continue learning new technologies as mission needs morph, and desire to work in C...Show moreLast updated: 5 days ago

Payroll Specialist

Skyline ProductsCOLORADO SPRINGS, CO, US

$30.00–$34.00 hourly

Full-time +1

Quick Apply

The Payroll Specialist manages and executes bi-weekly payroll.This role is critical to ensuring accurate and timely compensation, compliance with applicable regulations, and maintaining employee sa...Show moreLast updated: 30+ days ago

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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