18 days old

Intake Specialist - Fort Worth

Southwestern Health Resources CIN
Dallas, TX 75201
  • Job Code

Southwestern Health Resources (SWHR CIN) seeks to hire an Intake Specialist to work Full Time supporting the Care Coordination department.

Please note: Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health and UT Southwestern. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health or UT Southwestern employee.

The address is 900 Jerome Street, Fort Worth, Texas 76104 in the Midtown Medical Center.

Salary range is Min $14.85 - Max $22.44 - based on relevant experience

Work Schedule

Tuesday-Friday 8am-5pm

Saturday 6am-2:30pm; will require drop of mail on Saturday at local UPS

Job Description

Performs high level of data entry

Follows standard operating procedures for updating authorizations, including precertification and IP notifications in Care Managements software

Meets any intake production or QA metrics

Responsible for processing, entering, triaging and routing all precertification and referral requests.

Ensures the overall data integrity of documents received and entered into computer system

Responsible for following non-clinical algorithms, network tier structure/exceptions, and precertification and referral requirements by health plan for initial organization determinations and referrals

Responsible for following all compliance and regulatory requirements for turn-around time, notification to provider/member, and accuracy/completeness

Supports UM/UE Clinical staff in obtaining clinical information and status of requests

Supports CM Clinical staff in processing referrals to the care management program

Responsible for supporting any assigned special projects pertaining to UM/UE functions, customer service, and care management

Responsible for outreach to providers to obtain necessary information to process precertification and referral requests

Consistently meets performance standards of production, accuracy, completeness and quality

Handles volume of inbound and outbound phone calls with excellent customer service as needed

Updates Care Management appropriate wrap-up codes, break/lunch codes and any other codes for accurate and complete reporting when handling volume of inbound phone calls

Communicates actively and routinely with management team, and staff in handling client services, issues, escalated referral and preauthorization questions

Manages fax server, online requests and phone inquiries and processes requests from each

Secures patient demographics, verify benefits, and requests and enters clinical history as needed

Uses interpersonal/communication strategies with individuals to achieve: (a) desirable/acceptable outcomes/responses (b) perceptions of satisfaction or acceptance of those involved.

Perform procedures required by the assignment: (a) safely, without causing harm (b) effectively, achieving the intended outcome/result (c) efficiently, using the fewest possible resources (d) legally, within the scope of practice/policy

Establishes and/or revises priorities based on: (a) urgency of the patient or organization's needs (b) resource availability (c) predetermined schedules (d) other departments/personnel expectations

Competes all compliance, regulatory and process training within the specified timeline

Demonstrates a high level of critical thinking and detail orientation

Complies with established procedures and personnel policies

The ideal candidate will possess the following qualifications:

H.S. Diploma or Equivalent Required
Associate's Degree Preferred

2 years Full-Time Medical Referrals and Preauthorization Experience in a Healthcare Setting Required
2 years Customer Service Experience Required

Valid Driver's License and Vehicle Insurance Required

High level experience in data entry with accuracy

Excellent typing skills

Excellent phone etiquette

Ability to provide "customer service focus"

Work requires ability to communicate effectively with various levels of internal and external contacts.

Work requires ability to work with confidential information on daily basis.

Interpersonal and teamwork skills to contribute to objectives of organization.

Adaptability/flexibility to react positively to changes in work environment.

Initiative to improve productivity and quality of work.

Knowledge of specific regulatory, Managed Care requirements

Must be proficient in various word processing, spreadsheet, graphics, and database programs including Microsoft Word, Excel,

Access, PowerPoint, Outlook, etc

Working knowledge and ability to apply professional standards of practice in work environment

Individual Contributor

ADA Requirements
Working Indoors 67% or more

Physical Demands

Posted: 2019-10-31 Expires: 2019-11-29
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Intake Specialist - Fort Worth

Southwestern Health Resources CIN
Dallas, TX 75201

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