Medical Intake Coordinator

Scope:
The Intake Coordinator, via incoming calls, emails, faxes or website, assists with the computer
intake of all demographics information on the patient/member and determine whether services
requested require precertification based on the employer’s/Third Party Administrator’s contract with
MedWatch based on NCQA, URAC and state standards. This is a remote position with no requirement to commute to an office.

Education:High School Diploma

Experience:
Excellent data entry and typing skills

Basic Computer skills/proficient in relevant computer applications

Medical Terminology

Ability to handle multiple complex tasks simultaneously with attention to detail and accuracy

Knowledge of customer service principles and practices

Some experience in a call center or customer service environment

Verbal, written and listening communication skills

Stress tolerance and team work

Requirements/Skills:
Excellent data entry and typing skills

Basic Computer skills/proficient in relevant computer applications

Medical Terminology

Ability to handle multiple complex tasks simultaneously with attention to detail and accuracy

Knowledge of customer service principles and practices

Some experience in a call center or customer service environment

Verbal, written and listening communication skills

Stress tolerance and team work

Good organizational skills and time management

Excellent verbal and written communication skills

Ability to handle difficult situations tactfully and diplomatically.

Effective problem solving and decision-making skills.

Strong computer skills with proficiency in MS Office Suite products (Word, Excel, PowerPoint)

Duties and Responsibilities:
Handle all incoming MedWatch calls (i.e. start cases, do call logs, forward calls, provide case status, provide claims phone #’s, etc...)

Make outgoing calls for MedWatch (demos, information for case completion, etc…)

Make outgoing calls for Bill to Dates and Discharge dates for the nurses

Complete incoming electronic Webcerts

Send out CM Reports/Invoices

Send out Path letters for MW cases

Handle incoming Path letter responses

Attach and distribute faxes – anywhere from 100 to 200 per day (sometimes entails opening cases from faxes)

Make outgoing calls to DMTHR patients introducing nurse and program and transferring case to DM nurse

Take calls from DMTHR patients explaining program and transferring case to DM nurse

Check to see if there are any miscellaneous requests from nurses in emails (regarding cases to be opened, changes made to info in cases, etc..)

Check CM Inbox to see if there are any emails that need to be addressed (i.e. new CM case opened, answering questions regarding UR procedures, etc…) [Heather, Michelle, Sherri]

Verify patient and provider demos – correct and/or complete when needed

Handle fax failures, researching fax #’s and re-faxing manually when necessary Fax PA Reviews for nurses

Create cheat sheets, documents, spreadsheets, correspondence, etc…

Set Follow-up dates for HRA’s in DM

Make calls to DM patients introducing nurse and program

Handle mailing for UR, CM and DM

The incumbent may be responsible for duties or responsibilities that are not listed in this job description. Duties and responsibilities may change at any time with or without notice.

Pay rate: $15.00 - $16.00 per hour

Work Environment / Physical Demands: This position is in a typical office / home office
environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination
and manual dexterity sufficient to operate standard office equipment including operation of standard
computer and phone equipment.

We are an Equal Opportunity Employer, including disability/veteransOriginally posted on Himalayas