Contract Duration: 6 Months with possibility for extensions
Job Location: Hybrid role (Remote for Massachusetts only)
Employment Type: W-2
Job Description:
The Intake Coordinator supports the Medical Clinical Management Team by assisting with workflow coordination across Utilization Review, Case Management, Disease Management, and Quality Management. The role involves responding to provider queries, entering authorization data, and maintaining documentation to support member care and departmental functions. This position works closely with incoming referrals and authorizations for medical utilization.
Key Responsibilities:
- Contact provider offices for additional referral details and research member eligibility.
- Document all admissions and referrals, maintaining accurate logs and forms.
- Assist with efficient communication between team personnel and providers.
- Maintain and update daily inpatient census and manage incoming fax and authorization requests.
- Data entry of various medical requests including Hospital Admissions, Office Visits, and Medical Injectables.
- Ensure timely and accurate documentation, prioritizing customer satisfaction.
Qualifications:
- Education: High School diploma required; Associates degree preferred.
- Experience: At least 1 year of experience in a managed care, medical, or customer service environment.
- Skills: Proficiency in Microsoft Office Suite and database software.
- Preferred: Knowledge of medical terminology, Medicaid experience, and ability to multitask.
- Other: Requires rotating weekend and holiday coverage.
