Intake Coordinator

Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform.

Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member.

By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.

About Our Opportunity As an 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 :

A plus if you have :

Spending account options :