UCare

Intake Specialist

Expiring today

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jan 12, 2022
Closes
Jan 28, 2022
Ref
2761
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 12 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

Work Location: Work from Home

The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting at UCare, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.

Position Description

This position is responsible to receive and process authorization requests and/or admission notifications from providers/physicians, case managers, vendors and facilities. Provide live telephonic access for providers and internal customers. Perform data entry in support of the review activities of each business unit in the department.

• 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.

• 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.

• Identify urgent/expedited requests and provide timely notification to Utilization Review Team.

• Receive and report QIO appeal notifications from KEPRO and report to Utilization Review Team.

• 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.

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

• Data entry of Elderly Waiver Approvals. Communication with MSHO/MSC+ care coordinator to include member and provider approval notifications.

• 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 and exceed productivity and quality measures established by the department.

• Other projects and duties as assigned.

Education

Two-year degree or diploma in health or ancillary care preferred; 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. Use and understanding of medical 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 in a 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.

JOB POST DATE: 1/10/2022

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