Supervisor Health Plan Intake Services

Summary:

This position is responsible for the coordination of the Referral/Precertification Management information between the UM/CM Department and providers. Requirements include ability to manage, supervise, and orient intake staff.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Develop and train intake staff.
• Manage staff of Intake Coordinators during business expansion.
• Monitor Case Load and distribution of all Intake Coordinators.
• Provide internal chart audits.
• Answers incoming calls and retrieves phone mail requests as time permits to manage phone stats.
• Prepares Utilization Management reports, letters, and memos as requested.
• Acts as liaison for customer service and other outside entities as required.
• Collaborates with other departments within the organization.
• Identifies areas of potential improvement in work flow.
• Receive process and complete data entry of demographic information for all referral and authorization requests from providers via fax or phone and as appropriate, forward to precertification nurse/care manager/case manager.
• Begin on-line process utilizing skills of typing, medical terminology and ICD/CPT coding.
• Adhere to URAC standards Follows Christus Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA).
• Attend monthly departmental meetings and/or interdepartmental meetings as appropriate.
• Must have working Knowledge of Medical Terminology and CPT background.
• Must have good typing skills.
• Must have basic knowledge of computers.
• Must have excellent customer service skills.
• Must work well with diverse group of individuals.

Requirements:

• High School diploma required.
• Minimum of two years management experience required.
• Minimum of two years of experience in managed care environment required

Work Type:

Full Time

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