Bilingual Intake Coordinator

Vālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience.

The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system.

With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.

With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.   About Our Opportunity As a Bilingual Intake Coordinator, you will receive inbound calls, faxes, and web requests from providers and / or clients.

You will initiate and facilitate the authorization process in accordance with established health plan policies and procedures.

Things You’ll Do Here :

• Document demographic information obtained from telephonic, fax, or emailed requests within the care management system.
• Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review.
• Screen inquiries to determine the services that require certification at the time of the inquiry Obtain clinical information and forward the caller to the clinical staff for completion of the review.
• Provide certification based upon scripted clinical algorithms or benchmark Length of Stay.
• Collaborate and effectively communicate with internal and external partners.
• Stay up to date on Summary Plan Documents and other related resources related to service requests.
• Ensure applicable URAC standards, Confidentiality / HIPAA standards, and internal policies, practices, and productivity metrics are met.
• Performs other related duties as assigned by supervisor.
• Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

What You’ll Bring to the Team :

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Where You’ll Work :

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