Overview
We are looking for a Bilingual Non-Clinical Intake Coordinator. You must have experience in a medical office setting. You will support the Clinical Intake staff in the processing of Health Plan referrals for medical services, Insurance verification, outreach services. And scheduling. This position will provide the Office with administrative support in the implementation of the authorization process to ensure accuracy of service determinations, limitations of Health Plan coverage, and timeliness in the communication and decision-making process. This position will play a key role as provider and member liaison.

Essential Functions

Schedule, Reschedule appointments.

Obtain Referral information from providers and members to implement and facilitate the authorization process

Act as a liaison to members, community providers, and employees

Reviews specified referral types using established criteria for purposes of pre authorization of payment when indicated routes requests to clinical intake coordinators for approval or auto-authorizations.

Obtains additional medical information for clinical staff for preparation of authorizations for Clinical Intake Coordinator review

Benefits interpretation to include coordination of care for medically necessary services that are not covered

Monitors, tracks, and processes provider service appeals.

Reviews member history and eligibility and previous referral authorizations.

Job Type: Part-time

Pay: $17.00 - $21.00 per hour

Work Location: In person