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.
Note: This position is located 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 II''s primary responsibility is to facilitate and coordinatephone, fax, or electronic preadmission/admission reviews,prior approvals and referral requests through the medicaland/or MHSAreview cycle in compliance with regulatory and accreditation requirements.This positoin will have some supervisory responsibilities over the Intake Coordinators.This job 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.
KNOWLEDGE, SKILLSANDABILITIES REQUIRED
Subject Matter Expertise
oProficient understanding of all benefits and products
oProficient understanding of the claims adjudication and data systems
oThorough understanding of medical terminology and medical coding, to include ICD-9, ICD-10, HCPCS,CPT4, and DSM if applicable
oThorough understanding ofallregulatory and accreditation standards pertaining to Case/Care Management
Computer Skills (or other Technical skills)
oProficient 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
oStrong written and oral communications skills, with advanced listening skills to be able to identify provider and subscriber concerns
oAbility to read and comprehend written text with attention and appreciation for detail
Interpersonal Skills
oStrong interpersonal skills, including the ability to effectively maintain a consistently respectful, pleasant, courteous, and positive manner in responding to all memberand provider telephone inquiries, including those from angry or difficult customers
oDemonstrate behaviors that encourage cooperation, support and teamwork
oDemonstrate behaviors that recognize the rights of members/patients
oDemonstrate 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
oStrong organizational skills
oAbility to work independently, demonstrate attention to detail with accuracy, and utilization ofresources
oAbility to multi-task/prioritize high volume while maintaining quality, accreditation and regulatory standards.
oDemonstrate flexibility and adaptability with a calm demeanor and understanding of the situation
Analytical Skills
oAbility to research data and information and identify themes and courses of action
oAbility to analyze documents and processes to identify gaps and areas of non-compliance
Business Insight
oDemonstrate understanding of the care management process and its business implications
oAwareness of federal and state policies and healthcare trends that may impact care management
Safety and Preparedness
oDemonstrates safe work practices including how to report safety issues, proper body mechanics and use of protective gear if applicable
oDemonstrates understanding of standard safety precautions for infection control
oDemonstrates 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.
Supervisory experience.
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.
Note: This position is located 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 II''s primary responsibility is to facilitate and coordinatephone, fax, or electronic preadmission/admission reviews,prior approvals and referral requests through the medicaland/or MHSAreview cycle in compliance with regulatory and accreditation requirements.This positoin will have some supervisory responsibilities over the Intake Coordinators.This job 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.
KNOWLEDGE, SKILLSANDABILITIES REQUIRED
Subject Matter Expertise
oProficient understanding of all benefits and products
oProficient understanding of the claims adjudication and data systems
oThorough understanding of medical terminology and medical coding, to include ICD-9, ICD-10, HCPCS,CPT4, and DSM if applicable
oThorough understanding ofallregulatory and accreditation standards pertaining to Case/Care Management
Computer Skills (or other Technical skills)
oProficient 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
oStrong written and oral communications skills, with advanced listening skills to be able to identify provider and subscriber concerns
oAbility to read and comprehend written text with attention and appreciation for detail
Interpersonal Skills
oStrong interpersonal skills, including the ability to effectively maintain a consistently respectful, pleasant, courteous, and positive manner in responding to all memberand provider telephone inquiries, including those from angry or difficult customers
oDemonstrate behaviors that encourage cooperation, support and teamwork
oDemonstrate behaviors that recognize the rights of members/patients
oDemonstrate 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
oStrong organizational skills
oAbility to work independently, demonstrate attention to detail with accuracy, and utilization ofresources
oAbility to multi-task/prioritize high volume while maintaining quality, accreditation and regulatory standards.
oDemonstrate flexibility and adaptability with a calm demeanor and understanding of the situation
Analytical Skills
oAbility to research data and information and identify themes and courses of action
oAbility to analyze documents and processes to identify gaps and areas of non-compliance
Business Insight
oDemonstrate understanding of the care management process and its business implications
oAwareness of federal and state policies and healthcare trends that may impact care management
Safety and Preparedness
oDemonstrates safe work practices including how to report safety issues, proper body mechanics and use of protective gear if applicable
oDemonstrates understanding of standard safety precautions for infection control
oDemonstrates 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.
Supervisory experience.
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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