Job Details

ID #49732563
State Oregon
City Salem
Full-time
Salary USD TBD TBD
Source Evolent Health
Showed 2023-04-19
Date 2023-04-19
Deadline 2023-06-18
Category Et cetera
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Intake Coordinator, Utilization Management

Oregon, Salem, 97301 Salem USA

Vacancy expired!

Your Future Evolves HereEvolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.Why We’re Worth the Application:

We continue to grow year over year.

Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts (https://www.evolenthealth.com/diversity) .

Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index recognizing us as a best place to work for LGBTQ+ equality.

Named to Parity.org’s list of the best companies for women to advance for 3 years in a row (https://www.evolenthealth.com/about-us/press-releases/9328/evolent-health-named-to-parity.org%E2%80%99s-best-companies-for-women-to-advance-list-2022) (2020, 2021 and 2022).

Continue to prioritize the employee experience and achieved a 90% overall engagement score on our employee survey in May 2022.

Publish an annual DE&I report (https://dev.evolenthealth.com/sites/default/files-public/Evolent%20Health%202020%20DE%26I%20Annual%20Report.pdf) to share our progress on how we’re building an equitable workplace.

What You’ll Be Doing:Intake Coordinator: What You’ll Be Doing:For this role we are seeking skilled and knowledgeable healthcare individuals who are comfortable in providing telephone support, data entry and case routing to appropriate staff while confidently navigating several computer systems.Answers incoming queue calls to maintain established Average Speed of Answer and abandonment rates.Enters data into authorization system for inpatient admissions (medical and/or behavioral health), outpatient procedures, and Durable Medical Equipment (DME).Promptly records demographic information while meeting quality audit thresholds.Accurately verifies member eligibility and provider participation prior to routing case to Utilization Management Clinicians, noting any discrepancies/problems in notes received form provider.Provides provider with case reference number upon completion of data entry and /or clinician approval.Able to distinguish between ICD-10 and/or CPT/HCPC code at time intake is completed.Maintains a current knowledge base with regards to rules, regulations, policies, and procedures relating to precertification and concurrent review.Regularly reviews and monitors compliance with Evolent Health Plan policies and procedures.Adheres to state and federal regulations.Promptly makes recommendations to ensure compliance with rules, regulations, policies and procedures.Responds in an intelligent and comprehensive manner and displays a clear understanding and accurate reflection of Evolent Health goals, objectives, policies, procedures, and priorities.Addresses the majority of inquiries independently without unnecessary or recurring contact or excessive dependence on supervisor.Discriminates between routine and significantly sensitive matters or those issues for which direct response is inappropriate; promptly apprises immediate supervisor or assigned designee and or refers the issue to the appropriate individual.Addresses request promptly and courteously, honors commitments and displays persistence obtaining necessary information to address issues and problems.Perform other duties and projects as assigned.Key Competencies/Success Factors:Lives the values: Integrity, Community, Collaboration and Stewardship, as defined in the performance appraisal.Excellent written and verbal communication skills.Strong organizational skills.Ability to adapt to fluctuating situations and perform work of a detailed nature, while avoiding errors.Proficient experience using Outlook, Word, Excel and PowerPoint in a Windows operating system.The Experience You’ll Need (Required):High School Diploma required; Associate, degree preferred.Customer service skills including call center experience required.Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills.Knowledge of CPT and ICD-10 codes preferred.Knowledge of medical terminology preferred.1-3 years of experience as an Intake Coordinator or comparable experience preferred.Licenses, Registrations or Certifications:NoneTechnical Requirements:We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.Compensation Range: The minimum salary for this position is $20.00, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!For more insights about Evolent Health, click on Life At Evolent (https://www.evolenthealth.com/about-us/life-at-evolent) to learn more!

Vacancy expired!

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