Highmark Health Intake Coordinator in Wilkes-Barre, Pennsylvania

Description

JOB SUMMARY

This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax or phone, and at times may require follow-up calls with physicians or pharmacists.

Work Day/Hours- Mon-Fri 8:30-5pm. Must be available for some weekends and holidays.

ESSENTIAL RESPONSIBILITIES

  • Obtain requests from provider or pharmacy via phone, fax, or provider portal (online).Use multiple software systems and various resource sites to determine member plans and requirements..Gather all required documentation including verification of benefit eligibility. Build cases in the utilization management system.

  • Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and/or pharmacist.At times, contact by phone members, providers and/or pharmacists to obtain additional information.

  • Ensure accuracy of data entry to prevent compliance and/or downstream process issues.

  • Other duties as assigned.

EDUCATION

Required

  • High School Diploma/GED

Substitutions

  • None

Preferred

  • None

EXPERIENCE

Required

  • 1 - 3 years of Customer Service experience

  • 0 - 1 year of experience working in the Healthcare Industry

Preferred

  • 0 - 1 year of experience working in the Health Insurance Industry

LICENSES AND CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

Required

  • Oral & Written Communication Skills

  • Telephone Skills

  • Problem Solving & Decision Making

  • Compliance

  • Healthcare Industry

  • Health Insurance

Preferred

  • None

Language (Other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Rarely

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Occasionally

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

REQNUMBER: J124504

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled