UCare

Intake Coordinator - SNBC

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jun 08, 2022
Closes
Jul 05, 2022
Ref
3021
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 600,000 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 13 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 COORDINATOR - SNBC

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 configure monthly Special Needs Basic Care (SNBC) enrollment reports and provide enrollment support to the SNBC team and delegated entities. Research and configure monthly enrollment reports through data analytics; identify member clinic affiliations, investigate MMIS entries and attach information into Guiding Care. Collaborate with counties and care systems to ensure accuracy in assignment of cases and clinics; including coordinating and responding to clinic change requests for SNBC members. This position is also responsible to manage the Intake Line; telephone, fax, electronic communication and distribution of referrals for clinical services.

• Configure enrollment reports through complex data analytics. Search MMIS and attach most recent MMIS entry and other appropriate documents in Guiding Care for each member.

• Delegate and assign issues to staff for resolution as appropriate.

• Identify, plan for and implement timely process improvement.

• Review staffing to ensure team meets regulatory and productivity standards.

• Monitors data entry assignments to ensure compliance with authorization requirements.

• Provide operational assistance and perform Intake Specialist duties and projects as assigned.

• Participate in or conduct audits of assigned activities.

• Resolve provider related issues as they relate to Notification, Authorization services to both internal and external customers.

• Monitor, process and report MACESS aging. Monitor team queue mailboxes to ensure compliance with departmental SLA agreements.

• Provide support and recommendations to procedures and provider manual to ensure alignment with DHS policy and legislative changes.

• Provide assistance to Appeal and Grievance (AG) department to ensure appeal and state fair hearing results are processed appropriately.

• Participate in internal cross-departmental and external workgroups related to operational and legislative activities.

• Other projects and duties as assigned.

Education

High School diploma or equivalent. Completion of medical assistance, health unit coordinator or other medical certification preferred.

Required Experience

Three years' experience in a health plan or health care industry. Knowledge and experience with medical terminology, CPT, ICD-10 coding and insurance industry knowledge. One year of lead or supervisory experience.

Preferred Experience

Experience with insurance operations, member or provider customer service, or managed care utilization review. Experience in hospital, clinic or health care facility.

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: 06/07/2022

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