Associate Intake Coordinator

Highmark Inc.

Job Summary :

This job is responsible for completing all Prior Authorization outbound call tasks and / or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and / or provider of the approval and / or denial of the requested authorization.

Essential Responsibilities :

• Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a detailed script and desk level procedure, and appropriately log result within the platform.
• Obtain triage task from Utilization Management platform and follow a detailed desk level procedure to enter the required fields to set up the case build (data entry) and set the urgency of the case creation for the Intake Coordinator.
• Other duties as assigned or requested.
Experience :
• None

Preferred :

Skills :

Education :

Preferred :

Licenses or Certifications :

Language (Other than English) : None

Travel Requirement : 0% - 25%

Physical, Mental Demands and Working Conditions :

Position Type : Office- or Remote-based

Physical work site required

Audible Speech Frequently

Hear Frequently

Position self or move lower on ground, under tables / desk, etc. Occasionally

Climb Occasionally

Drive Occasionally

Reach Occasionally

Sedentary Position Constantly

Move Occasionally

Repetitive Motion Constantly

Use Hands / Fingers to Handle or Feel (beyond data entry) Occasionally

Vision - Distinguish Color Occasionally

Vision - Far, near, Depth Perception Occasionally

Lifting : up to 10 pounds Constantly

Lifting : up to 20 pounds Constantly

Lifting : up to 50 pounds Occasionally

Lifting in excess of 50 pounds Never

Pay Range Minimum : $19.01

Pay Range Maximum : $23.72

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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 any category protected by applicable federal, state, or local law.

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