<p>Vālenz^® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The <a href="https://himalayas.app/companies/valenz">Valenz</a> mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, <a href="https://himalayas.app/companies/valenz">Valenz</a> engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.<br><br><b>About This Opportunity:</b><br>As an Intake Coordinator, you will receive inbound calls, faxes, and web requests from providers and/or clients. You will initiate and facilitate the authorization process in accordance with established health plan policies and procedures.<br><br><b>Things You’ll Do Here: </b></p><ul><li>Document demographic information obtained from telephonic, fax, or emailed requests within the care management system.</li><li>Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review.</li><li>Screen inquiries to determine the services that require certification at the time of the inquiry.</li><li>Obtain clinical information and forward the caller to the clinical staff for completion of the review.</li><li>Provide certification based upon scripted clinical algorithms or benchmark Length of Stay.</li><li>Collaborate and effectively communicate with internal and external partners.</li><li>Stay up to date on Summary Plan Documents and other related resources related to service requests.</li><li>Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met.</li><li>Performs other related duties as assigned by supervisor.</li></ul><br><i>Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.</i><br><br><br><b>What You’ll Bring to the Team:</b><ul><li>2+ years of experience in high-volume call center or customer support environment.</li><li>High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members.</li><li>Strong problem-solving skills.</li><li>Excellent communication skills, both verbal and written.</li><li>GED or High School Diploma.</li></ul><br><i>A plus if you have…</i><ul><li>Medical, claims, or collection call center experience.</li><li>Medical Terminology Certification.</li><li>Microsoft Office Suite experience<b><i>.</i></b></li></ul><p><br><b>Where You’ll Work:</b> This is a fully remote position, and we’ll provide all the necessary equipment!</p><