What are the responsibilities and job description for the Intake Coordinator position at WebTPA?
Responsible for delivering outstanding customer service as an integral part of the Precertification and Utilization Department. This function is office-based and resides within a customer focused "POD" or team. The POD includes team members from claims, customer service, analytics, and clinical. This integrated team's goal is to drive high quality, cost effective results for plan members and sponsors, with the ultimate goals of being a good steward of the plan's healthcare spend.
Essential Functions
- The essential functions listed represent the major duties of this role, additional duties may be assigned.
- Obtain and input initial demographics for inpatient and outpatient pre-certification. Accurate documentation of information obtained. (25%)
- Responsible for professional interactions telephonically. Includes accurate communication of services requested. (25%)
- Screen calls appropriately and work with clinicians to ensure optimal turnaround times. (25%)
- Print, correct and forward reports requested to nurses or supervisor. (5%)
- Responsible for managing all clinical faxes and ensuring all regulatory timelines are met. Must meet all regulatory and compliance requirements for Utilization Management. (15%)
- Identification of any errors within multiple systems utilized and forward to supervisor as indicated. (5%)
Required Work Experience
2 years related work experience. Experience Details:
2 years related work experience. Experience Details:
Required Management Experience
1 years direct supervisory/management experience
1 years direct supervisory/management experience
Required Education
High school diploma or GED
High school diploma or GED
Additional Required Qualifications
Knowledge of computer, word processing and typing as well as experience using Microsoft Office.
Excellent verbal and written communication skills.
Pleasant and easy to understand voice to ensure quality calls.
Flexible and self motivated. Easily adaptable to a changing environment and can switch between tasks quickly.
Knowledge of computer, word processing and typing as well as experience using Microsoft Office.
Excellent verbal and written communication skills.
Pleasant and easy to understand voice to ensure quality calls.
Flexible and self motivated. Easily adaptable to a changing environment and can switch between tasks quickly.
Additional Preferred Qualifications
Medical coding/terminology knowledge preferred. 1 – 2 years of telephonic call center experience preferred.
Medical coding/terminology knowledge preferred. 1 – 2 years of telephonic call center experience preferred.
General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.