VCC Intake Coordinator
Company Name:
Brattleboro Retreat
VCC Intake Coordinator
Department: VCC
Schedule: Full Time
Shift: Day Shift
Hours: 40 Hour
Job Details:
BC/BS of
vermont
and the Brattleboro Retreat have partnered to form a unique integrated approach to meeting the healthcare needs of Vermonters living with co-occurring medical and mental issues. We are looking for experienced licensedVermontclinicians to jon our efforts, The
jobs
will be located at the BC offices inBerlin,VT.
Please contact Peter Albert for details. This partnership is something new and important, don't miss out in this opportunity
Contact:
Peter Albert
Job
Summary: The Intake Coordinator s primary responsibility is to facilitate and coordinate phone, fax, or electronic preadmission/admission reviews, prior approvals and referral requests through the medical and/or MHSA review cycle in compliance with regulatory and accreditation requirements. This includes verifying member eligibility, gathering clinical, demographic and member identification data, generating and performing quality assurance of correspondence, entering authorizations to ensure appropriate claims processing, and maintaining electronic medical records. The Intake Coordinator may determine the medical appropriateness of certain requested services by applying medical and/or MHSA policy criteria and algorithms, forwarding more complex cases or cases requiring a medical necessity determination, to clinical reviewers.
The Intake Coordinator is also responsible for answering department phone calls and evaluating issues and questions from internal and external customers. The Intake Coordinator provides exceptional customer service when interacting with all internal and external customers and is a resource to other business units for in-depth inquires and escalated issues while always maintaining the highest level of confidentiality.
Note: This position is located inBerlin,VT
KNOWLEDGE, SKILLSANDABILITIES REQUIRED
Subject Matter Expertise
o Proficient understanding of all benefits and products
o Proficient understanding of the claims adjudication and data systems
o Thorough understanding of medical terminology and medical coding, to include ICD-9, ICD-10, HCPCS,CPT4, and DSM if applicable
o Thorough understanding of all regulatory and accreditation standards pertaining to Case/Care Management
Computer Skills (or other Technical skills)
o Proficient in use of MS Office Applications (specifically Outlook, Word and Excel), specialized computer applications, internet browsing, and complex phone systems. Familiarity with data availability and sources including organizational reporting
Communication Skills
o Strong written and oral communications skills, with advanced listening skills to be able to identify provider and subscriber concerns
o Ability to read and comprehend written text with attention and appreciation for detail
Interpersonal Skills
o Strong interpersonal skills, including the ability to effectively maintain a consistently respectful, pleasant, courteous, and positive manner in responding to all member and provider telephone inquiries, including those from angry or difficult customers
o Demonstrate behaviors that encourage cooperation, support and teamwork
o Demonstrate behaviors that recognize the rights of members/patients
o Demonstrate regard for the concern, courtesy, dignity and importance of all internal and external partners, members/patients and family members to ensure a professional, caring, service oriented environment
o Demonstrated leadership experience and ability.
Organizational Abilities
o Strong organizational skills
o Ability to work independently, demonstrate attention to detail with accuracy, and utilization of resources
o Ability to multi-task/prioritize high volume while maintaining quality, accreditation and regulatory standards.
o Demonstrate flexibility and adaptability with a calm demeanor and understanding of the situation
Analytical Skills
o Ability to research data and information and identify themes and courses of action
o Ability to analyze documents and processes to identify gaps and areas of non-compliance
Business Insight
o Demonstrate understanding of the care management process and its business implications
o Awareness of federal and state policies and healthcare trends that may impact care management
Safety and Preparedness
o Demonstrates safe work practices including how to report safety issues, proper body mechanics and use of protective gear if applicable
o Demonstrates understanding of standard safety precautions for infection control
o Demonstrates and verbalizes proper procedure for responding to fire drills or other disasters
Qualifications:
High school diploma with associates or bachelors degree in a related health care field preferred. 3-5 years experience in the healthcare industry, preferably health insurance, is required.
.
PLEASE READ: Your computer may have specific settings that block popup boxes and forms. You must disable your popup blocker setting in order to access the online application form. (Go to Tools>Popup Blocker>Temporarily Allow Popups)Estimated Salary: $20 to $28 per hour based on qualifications.
Brattleboro Retreat
VCC Intake Coordinator
Department: VCC
Schedule: Full Time
Shift: Day Shift
Hours: 40 Hour
Job Details:
BC/BS of
vermont
and the Brattleboro Retreat have partnered to form a unique integrated approach to meeting the healthcare needs of Vermonters living with co-occurring medical and mental issues. We are looking for experienced licensedVermontclinicians to jon our efforts, The
jobs
will be located at the BC offices inBerlin,VT.
Please contact Peter Albert for details. This partnership is something new and important, don't miss out in this opportunity
Contact:
Peter Albert
Job
Summary: The Intake Coordinator s primary responsibility is to facilitate and coordinate phone, fax, or electronic preadmission/admission reviews, prior approvals and referral requests through the medical and/or MHSA review cycle in compliance with regulatory and accreditation requirements. This includes verifying member eligibility, gathering clinical, demographic and member identification data, generating and performing quality assurance of correspondence, entering authorizations to ensure appropriate claims processing, and maintaining electronic medical records. The Intake Coordinator may determine the medical appropriateness of certain requested services by applying medical and/or MHSA policy criteria and algorithms, forwarding more complex cases or cases requiring a medical necessity determination, to clinical reviewers.
The Intake Coordinator is also responsible for answering department phone calls and evaluating issues and questions from internal and external customers. The Intake Coordinator provides exceptional customer service when interacting with all internal and external customers and is a resource to other business units for in-depth inquires and escalated issues while always maintaining the highest level of confidentiality.
Note: This position is located inBerlin,VT
KNOWLEDGE, SKILLSANDABILITIES REQUIRED
Subject Matter Expertise
o Proficient understanding of all benefits and products
o Proficient understanding of the claims adjudication and data systems
o Thorough understanding of medical terminology and medical coding, to include ICD-9, ICD-10, HCPCS,CPT4, and DSM if applicable
o Thorough understanding of all regulatory and accreditation standards pertaining to Case/Care Management
Computer Skills (or other Technical skills)
o Proficient in use of MS Office Applications (specifically Outlook, Word and Excel), specialized computer applications, internet browsing, and complex phone systems. Familiarity with data availability and sources including organizational reporting
Communication Skills
o Strong written and oral communications skills, with advanced listening skills to be able to identify provider and subscriber concerns
o Ability to read and comprehend written text with attention and appreciation for detail
Interpersonal Skills
o Strong interpersonal skills, including the ability to effectively maintain a consistently respectful, pleasant, courteous, and positive manner in responding to all member and provider telephone inquiries, including those from angry or difficult customers
o Demonstrate behaviors that encourage cooperation, support and teamwork
o Demonstrate behaviors that recognize the rights of members/patients
o Demonstrate regard for the concern, courtesy, dignity and importance of all internal and external partners, members/patients and family members to ensure a professional, caring, service oriented environment
o Demonstrated leadership experience and ability.
Organizational Abilities
o Strong organizational skills
o Ability to work independently, demonstrate attention to detail with accuracy, and utilization of resources
o Ability to multi-task/prioritize high volume while maintaining quality, accreditation and regulatory standards.
o Demonstrate flexibility and adaptability with a calm demeanor and understanding of the situation
Analytical Skills
o Ability to research data and information and identify themes and courses of action
o Ability to analyze documents and processes to identify gaps and areas of non-compliance
Business Insight
o Demonstrate understanding of the care management process and its business implications
o Awareness of federal and state policies and healthcare trends that may impact care management
Safety and Preparedness
o Demonstrates safe work practices including how to report safety issues, proper body mechanics and use of protective gear if applicable
o Demonstrates understanding of standard safety precautions for infection control
o Demonstrates and verbalizes proper procedure for responding to fire drills or other disasters
Qualifications:
High school diploma with associates or bachelors degree in a related health care field preferred. 3-5 years experience in the healthcare industry, preferably health insurance, is required.
.
PLEASE READ: Your computer may have specific settings that block popup boxes and forms. You must disable your popup blocker setting in order to access the online application form. (Go to Tools>Popup Blocker>Temporarily Allow Popups)Estimated Salary: $20 to $28 per hour based on qualifications.
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