About the Role
Bilingual Intake Coordinator
Remote
Full Time
Care – Intake
Entry Level
Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
About Our Opportunity
As a Bilingual Intake Coordinator, you will receive inbound calls, faxes, and web requests from providers and/or clients. You will initiate and facilitate the authorization process in accordance with established health plan policies and procedures.
Things You’ll Do Here:
- Document demographic information obtained from telephonic, fax, or emailed requests within the care management system.
- Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review.
- Screen inquiries to determine the services that require certification at the time of the inquiry
- Obtain clinical information and forward the caller to the clinical staff for completion of the review.
- Provide certification based upon scripted clinical algorithms or benchmark Length of Stay.
- Collaborate and effectively communicate with internal and external partners.
- Stay up to date on Summary Plan Documents and other related resources related to service requests.
- Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met.
- Performs other related duties as assigned by supervisor.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You’ll Bring to the Team:
- 2+ years of experience in high-volume call center or customer support environment.
- High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members.
- Strong problem solving skills.
- Excellent communication skills, both verbal and written.
- GED or High School Diploma.
- Fluent in reading, writing, and speaking Spanish and English.