Intake Coordinator
Highmark Health(1 month ago)
About this role
This position handles inbound utilization management inquiries from providers and pharmacies, assesses requests, verifies member benefits, and creates cases in Highmark's Utilization Management system for prior authorization clinical review. The role ensures accurate information is captured to meet regulatory compliance and service level agreements and supports necessary communication with provider or pharmacy offices.
Required Skills
- Written Communication
- Telephonic Communication
- Multi-System Navigation
- Data Entry
- Benefit Verification
- Customer Service
- Problem Solving
- Clerical Procedures
- Case Building
- Provider Outreach
Qualifications
- High School/GED
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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