Senior Intake Coordinator

Highmark Health

Buffalo, NY, USA
Base: $20.72 - $30.12; bonus/equity: not specified...
Inbound phone inquiries
Provider and pharmacy communication
Multiple software systems navigation
This job captures all inbound phone inquiries for utilization management review from providers and pharmacies, assessing verbal requests and performing research to fulfill calls

Job Summary

  • This job captures all inbound phone inquiries for utilization management review from providers and pharmacies, assessing verbal requests and performing research to fulfill calls.
  • The incumbent ensures all accurate information is verified and entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements.
  • Essential responsibilities include handling inbound Prior Authorization requests, using multiple software systems to determine member plans and requirements, and ensuring accuracy of data entry to prevent compliance issues.

Matching Summary

This job captures all inbound phone inquiries for utilization management review from providers and pharmacies, assessing verbal requests and performing research to fulfill calls.

Salary

Base: $20.72 - $30.12; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Inbound phone inquiries
  • Provider and pharmacy communication
  • Multiple software systems navigation
  • Benefit eligibility verification
  • Regulatory compliance adherence
  • Critical thinking for call resolution

Nice-to-have

  • Customer needs assessment
  • Meeting quality service standards
  • Interacting well with peers and supervisors

Key Requirements

  • High School Diploma/GED
  • 3 years customer service experience
  • 1 year healthcare industry experience
  • Good written and oral telephonic communication skills
  • Knowledge of administrative and clerical procedures

Work Rights

Not specified

Tailored Resume

Cover Letter