UCare

Intake Specialist

Employer
Location
Minneapolis, Minnesota
Posted
Oct 13, 2017
Closes
Oct 18, 2017
Category
Healthcare
Employment Status
Full Time

Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.

 

 

ABOUT UCARE

At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.

 

WORKING AT UCARE

Working at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do.

 

INTAKE SPECIALIST

 

Position Description

Receives and processes authorization requests or admission notifications from providers/physicians, case managers, vendors and facilities.  Provides live telephonic access for providers and internal customers.  Performs data entry in support of the review activities of each business unit in the department. 

Specific duties and responsibilities include:  

Answer incoming department calls promptly to assure uninterrupted telephone access for providers and internal customers during regular business hours.  

Monitor and retrieve incoming admission notifications, service requests and other customer inquiries from voicemails, faxes, and mail within established parameters. 

Screen, triage and distribute calls or requests for information to the appropriate team, department or organizational contact.   

Call providers as necessary to obtain information required to initiate reviews, educate on the authorization process and respond to questions or inquiries.  

Enter member admission notification data, \and authorization requests. Assign to UR Specialist reviewer following department protocol.  

Screen and enter Elderly Waiver case management approvals.  

Perform timely and accurate entry of data within established turnaround times. 

Document provider interactions using established department standards. 

Understand, implement and support the Evidence of Coverage (EOC), Certificate of Coverage (COC), organizational policies, department procedures and protocols; published authorization grids, medical policies, review criteria, review standards and regulatory requirements relative to the intake process.      

Proficient use of computer systems required to perform assigned duties. 

Meet productivity and quality measures established by the department. 

Other projects and duties as assigned.

Education

High school diploma or equivalent required.  Two year degree or diploma in health or ancillary care preferred.


Required Experience

One-year experience in data entry and/or telephonic customer service in productivity based environment.  Use and understanding of medical terminology, CPT, ICD-9 coding and commonly used electronic business office tools.


Preferred Experience

Experience with insurance operations, member or provider customer service, and experience in Managed Care.  Experience in a hospital, clinic or other health care facility/provider.


THE UCARE DIFFERENCE

UCare is proud to be a recognized Star Tribune Top Workplace for the 8th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply.

 

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

Rewards

Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers. At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
www.ucare.org/careers/
EOE/AA