Intake Coordinator-CW

eTeam Inc.

Pittsburgh, PA

JOB DETAILS
SALARY
$17.63–$22.12 Per Hour
SKILLS
Analysis Skills, Communication Skills, Data Entry, Data Quality, Detail Oriented, Health Insurance, Healthcare, High School Diploma, Maintain Compliance, Medical Records, Medical Terminology, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Organizational Skills, Patient Care Denials, Pharmacy, Presentation/Verbal Skills, Problem Solving Skills, Regulatory Compliance, Regulatory Requirements, Research Skills, Service Level Agreement (SLA), Telephone Skills, Writing Skills
LOCATION
Pittsburgh, PA
POSTED
1 day ago
Job Title: Intake Coordinator
Duration: 6 Months, Possible extension
Location: Pittsburgh, PA 15233

•       Must be local to Pittsburgh
•       Will work fully onsite in Pittsburgh (downtown office)


Job Description:
This job captures all inbound appeals and grievance requests from providers and/or subscribers. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, denial codes, par or non-par provider status and then creates the case (data entry) in the online processing system. 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 mail and may require checking multiple systems. The incumbent is expected to meet established quality and production standards.

Essential Responsibilities
•       Obtain requests from provider, member or pharmacy via fax or mail.
•       Use multiple software systems and various resource sites to determine the type of request (member or provider appeal).
•       Build cases in the online processing system.
•       Identify if the submission is additional information received for a current case. When necessary, forward to the responsible analyst.
•       Ensure accuracy of data entry to prevent compliance and/or downstream process issues.
•       Sort and scan incoming mail and mail correspondence to members and/or providers.
•       Complete outbound calls when additional information is required.
•       Identify expedited appeals based on key terms/phrases.
•       Save medical information to disk.
•       Other duties as assigned would consist of coding.

Required Qualifications
•       High School Diploma/GED
•       1 year of experience working in the Healthcare Industry
•       Familiarity with medical terminology
•       Reading comprehension
•       Claims experience
•       Oral & written communication skills
•       Telephone skills
•       Data entry skills
•       Experience with Microsoft Office Suite (Word, Excel, and Outlook)
•       Attention to detail
•       Problem solving & decision making
•       Compliance
•       Experience in the Healthcare and/or Health Insurance industry

Preferred Qualifications
•       Coder experience would be a plus

About the Company

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eTeam Inc.

Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Other/Not Classified
FOUNDED
1998
WEBSITE
www.eteaminc.com