Job Description
Intake Representative
Location: United States
Category Care Management
Job Location Nationwide
Industry Health Care
Job Level Entry Level
Position Type Full-Time/Regular
Years of Experience 1+ to 2 Years
Comagine Health is looking for a remote Intake Representative. In this role, you will assist providers to submit documentation of requests for case management, utilization review, and other medical management services. You will enter documentation of requests for case management, utilization review, and other medical management services (collect/enter information into the system that is limited to non-clinical data or is structured clinical data). You’ll also convey case information and other notifications via inbound and outbound calls, and system web notifications. If this sounds like a role you’d be interested in, we encourage you to read on and apply!
Who is the Comagine Health?
Comagine Health is a non-profit consulting firm that seeks to improve health and to increase the effectiveness and quality of health care. As a recognized Quality Improvement OrgaOpenization (QIO), we support providers, plans, purchasers, and consumers, and offer services to state and federal agencies and others to help them better manage health care under the existing system and to assess, plan for and implement broader system transformation. We collaborate with academic, government, and nonprofit partners on initiatives funded by NIH, CDC, AHRQ, BJA, SAMHSA, and others. In short, we are changing healthcare at a fundamental level.
What you’ll be doing for us:
- Respond to inbound telephone and Care Management system requests.
- Enter case information from original source documentation.
- Make courtesy calls with case reference numbers.
- Provide notification of completed review and next review date, when applicable.
- Contribute to orientation and training of other non-clinical employees, when applicable.
- As requested, create templates for complex reviews, perform internal quality audit reviews, and/or participate in provider educational or informational activities.
- May perform scripted clinical reviews and refer reviews requiring further action to clinical review staff.
- Added accountabilities when performing case management support (as appropriate) include but are not limited to:
- Arrange ancillary authorization requests such as transportation and accommodation.
- Obtain customer consent for care management services to be performed.
- Correspond with facilities, providers, and others.
- Coordinate non-clinical functions and interventions, as directed
- Supervised closure of cases upon completion of review by a clinical reviewer, as directed.
Competencies:
- Intermediate MS Office Suite proficiency and familiarity with database software programs.
- Demonstrated proficiency with medical terminology.
- Organizational skills.
- Participates in orientation and training of other Intake staff.
Required Qualifications:
- High school diploma or equivalent (equivalent combination of education and/or work experience in related field may be substituted).
- 2 years of related work experience or customer service experience.
- 1 year of work experience in healthcare.
Desired Qualifications:
- Post-secondary education or certification in a related field.
Salary Range: $36,000 – $51,000