Posted:
10/14/2024, 11:34:04 AM
Location(s):
Charlotte, North Carolina, United States ⋅ North Carolina, United States
Experience Level(s):
Junior ⋅ Mid Level
Field(s):
Customer Success & Support
Workplace Type:
Hybrid
What you will be doing:
First point of contact for network providers, physicians, and members. Responsible for processing incoming prior-authorization requests via phone, fax and web while ensuring that both internal and external customers receive a level of service that exceeds their expectations. Intake Specialist will utilize two methods of communication (inbound and outbound) calls and written correspondence. Must respond to and resolve questions and problems from network providers, imaging centers/facilities, members, and referring providers. Intake Specialist also receives inbound calls on follow-up to existing authorization request either in process or processed.
Key Responsibilities
Receive/process authorization request intake via phone, fax and/or web
Collect and transfers non-clinical data
Acquire structured clinical data
Review authorization request for completeness of information
Verify eligibility
Verify physician and rendering facility participation
Initiate an online authorization based on information received
Submit cases for second level review if medical necessity cannot be established
Provide customer service to callers following-up on existing authorization request either in process or processed
Perform functions according to client program design
Perform other duties/functions as director from Supervisor
Required Qualifications
Work Experience:
Years of Applicable Experience - 0 or more yearsEducation:
High School Diploma or GED (Required)
Skills:
Strong written and verbal skill
Knowledge of medical terminology
Data Entry
Customer service
Detail oriented
Second language (Spanish) preferred
Experience:
Contact Center experience - comfortable with heavy call volume
1+ year of applicable experience (e.g. prior experience in medical, healthcare, and/or contact center setting)
Prior Authorization experience preferred
Education:
High School Diploma or GED
*Candidates should be comfortable working 11 am - 7 pm EST or 12 - 8 pm EST Monday - Friday)*
Additional Job Requirements:
Remain in a stationary position for prolonged periods of time
Be adaptive and change priorities quickly; meet deadlines
Attention to detail
Operate computer programs and software
Ability to communicate effectively with audiences in person and in electronic formats.
Day-to-day contact with others (co-workers and/or the public)
Making independent decisions
Ability to work in a collaborative business environment in close quarters with peers and varying interruptions
Employees also receive access to the following benefits:
· Health, dental, vision, life and disability insurance
· 401k retirement program
· Paid time off
· Participation in Premier’s employee incentive plans
· Tuition reimbursement and professional development opportunities
Premier at a glance:
Employees receive:
Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people.
Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply.
Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to [email protected] or contact Premier Recruiting at 704.816.5200.
Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier’s Privacy Policy.
Website: https://nexerainc.com/
Headquarter Location: New York, New York, United States
Employee Count: 51-100
Year Founded: 2003
IPO Status: Private
Industries: Consulting ⋅ Health Care ⋅ Legal