Job Id: 59678
This Role is Fully Remote within Oregon, Washington, Idaho, and Utah.
Clinical Services Intake Analyst
Our client is seeking a Clinical Services Intake Analyst to assist their organization remotely in Portland, Oregon.
Clinical Services Intake Analyst Responsibilities
The Clinical Intake Analyst acts as the initial point of receipt for all incoming work for the Clinical Service Operations teams (includes documents related to Utilization Management, Care Management, Disease Management and Appeals). Manages timeliness and organization of work received in multiple ways and locations, images work in to the system, and insures HIPAA and privacy standards are met for all incoming documents. Utilizes knowledge and experience to triage the work and determine the nature of the inquiry and correct work assignment.
General Functions and Outcomes:
Uses appropriate tools and systems to research incoming documents related to utilization management (UM), case management (CM), disease management (DM), provider and member appeals.
Uses knowledge of member benefits, UM, CM, DM, and appeals and research to correctly identify the correct work type and appropriate workflow process.
Manages workloads by distributing the work in a way that work can be completed within necessary timeframes.
Images documentation to comply with HIPAA and privacy laws.
Manages high volumes of inquiries on a daily basis; is able to multitask, prioritizing and asking for assistance as necessary.
Adheres to department standards for quality, timeliness, and department processes and procedures.
Supports Performance Guarantees by providing coverage for urgent/expedited appeals on long weekends.
Performs basic administrative functions such as: Requesting maintenance or repairs for office equipment; Maintaining inventory, supplies and files; and Assisting with mailing correspondence.
Clinical Services Intake Analyst Qualifications
Basic knowledge of medical terminology. Familiarity with health care benefits, systems and documentation.
Ability to adapt to a fast-paced environment and learn, retain, and interpret new or evolving information, and processes.
Ability to evaluate clinical documents and forward to others for resolution.
Demonstrated ability to work with limited supervision to prioritize work, meet deadlines and achieve operational standards.
Effective communication and basic writing skills.
Attention to detail.
Ability to follow written direction in a job aid.
General computer knowledge (e.g. Microsoft Office products such as Word, Excel, Outlook, and Internet search).
General organization, data entry and administrative skills.
Ability to work effectively in a team environment.
The Clinical Intake Analyst would have a High School Diploma or GED and general office experience plus 1 year of experience in Regence Customer Service or equivalent combination of education and experience.
Familiarity with medical terminology and healthcare benefits and systems preferred.
May be required to work overtime.
Compensation: Up to $23.33/hr. (DOE)
Benefits are available to eligible VanderHouwen contractors and include coverage for medical, dental, vision, life insurance, short and long term disability, and matching 401k.
VanderHouwen is an award-winning, Women-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen has been successfully placing experienced professionals throughout the Pacific Northwest and nationwide. Our recruitment teams are highly specialized in either Technology and IT, Engineering, or Accounting and Finance career markets. Our recruiters value building meaningful, professional relationships with each candidate as well as developing honed knowledge of companies' staffing needs and workplaces. Partner with us to land your next exciting career.
VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state or federal civil rights laws.
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