Senior Intake Coordinator
Highmark Health(2 months ago)
About this role
An Utilization Management Call Specialist at Highmark handles inbound phone inquiries from providers and pharmacies for prior authorization and utilization management review. The role assesses requests, verifies member benefits, creates and researches prior authorization cases in the UM system, and ensures accurate documentation and regulatory compliance. The position may also make outbound calls, triage cases, and support case inventory when needed.
Required Skills
- Telephonic Communication
- Multi-System Navigation
- Data Entry
- Critical Thinking
- Case Management
- Benefit Verification
- Customer Service
- Problem Solving
- Administrative Procedures
Qualifications
- High School Diploma/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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