UCare

Intake Specialist

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Sep 05, 2019
Closes
Sep 12, 2019
Ref
1700
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.

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

ABOUT UCARE
UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.
WORKING AT UCARE
Working at UCare is more than 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. Employees join UCare and stay because of the opportunity to have a purpose-driven job.
Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 10 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

INTAKE SPECIALIST (BH)

Position Description

This position is responsible to receive and process authorization requests or admission notifications from providers/physicians, case managers, vendors and facilities. Provide assistance and oversight in tracking of requests or reports to meet regulatory guidelines in identified areas. Performs data entry in support of the review activities of each business unit in the department. Provide live telephonic access for external and internal customers.

• Monitor, retrieve and enter member admission notification and service requests received through identified fax lines, US mail, and voicemails within established parameters; routing and assigning to Behavioral Health Utilization Review Specialist for review.

• Support the urgent concurrent determination process by ensuring compliance with regulatory guidelines through completing initial approval notification for admissions and conducting follow-up with providers to prepare for concurrent utilization review.

• Perform timely and accurate entry of data within established turnaround times. Communicate and coordinates with other UCare departments and external providers to obtain information, request action or follow-up.

• Answer incoming department calls promptly to assure uninterrupted telephone access for external and internal customers during regular business hours. Respond to provider or vendor inquires as it relates to BH programs and services; including but not limited to provider triaging as needed.

• Document all pertinent calls/interactions using established department standards.

• Facilitate, distribute and monitor regulatory reports to facilities and providers, i.e. IMD follow up and reporting. Follow-up with identified issues with an initial phone call or electronic communication for status checks. Escalating any trends/ongoing issues with facilities to leadership as necessary.

• 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 behavioral health intake process.

• Other projects and duties as assigned.

Education
High school diploma or equivalent. Two year degree or diploma in health or ancillary care; demonstrated experience may be considered in lieu of degree.
Required Experience
One-year experience in data entry and/or telephonic customer service in productivity based environment. Experience with behavioral health population. Use and understand of medical and behavioral health terminology, CPT, ICD-10 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 with hospital, clinic or other health care facility/provider.
THE UCARE DIFFERENCE
The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, 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.

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