Intake Coordinator I

The Intake Coordinator I provides customer service and clinical support services to members and providers requesting pre-certification and/or case management services. Coordinates requests with Registered Nurses efficiently and effectively and delivers Medical Management services to our members. Exemplifies role-model behavior, through actions with all associated behaviors related to our core values and associated behaviors.

Key Result Areas

• Answers incoming telephone calls and initiates precertification/case management requests from providers/members.
• Researches customer inquiries regarding precertification requirements and explains policies to customers.
• Coordinates all incoming faxes, phone calls and voicemails.
• Requests medical records for clinical updates and conducts call backs to confirm admit/discharge dates.
• Electronically processes, files and submits faxed clinical information submitted by providers.
• Documents in Medical Management and claims software.
• Must take an average of five calls per hour after training has been completed.
• Demonstrates active engagement in employee recognition by recognizing the right things, at the right time, in the right way, for the right reason.
• Completes all projects in a timely and accurate manner.
• Performs other duties as assigned or needed.

• High school degree or equivalent.
• Minimum of one year of customer service experience.
• Ability to communicate professionally and effectively with internal and external customers.
• Knowledge of medical terminology, utilization management or a related medical field background preferred.
• Team and goal oriented.
• Exceptional interpersonal and problem solving skills.
• Ability to handle pressure situations, personnel, and management.
• Ability to learn new technology and information.
• Types 45 wpm, 10-key and computer knowledge.
• Able to demonstrate excellent attendance and punctuality.
• Demonstrate professionalism in excellent Accuracy, Customer Service, Timely Turn-Around (ACT).
• Exceptional verbal and written communication skills.
• Proficiency using Microsoft Office (Word, Excel, Outlook, etc.).
• Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines.
• Possess a high degree of integrity and discretion, as well as the ability to adhere to both company policies and best practices. including HIPAA and HITRUST standards.
• Ability to efficiently and effectively perform the Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.
• Protect and enhance the Core Purpose and the Core Values of AmeriBen.

AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

If you are unable to use our online application process due to a disability, please contact the Human Resources Department at humanresources@ameriben.com.