The Intake Coordinator position plays an important role in managing and processing the authorization of medical services, procedures, and treatments in accordance with established guidelines and policies. This individual will work closely with healthcare providers, internal teams, and external partners to ensure efficient and accurate authorization processes.
- Review, evaluate, and process authorization requests for medical procedures, treatments, and services according to established guidelines and policies.
- Verify completeness and accuracy of required documentation accompanying authorization requests, ensuring compliance with regulatory standards.
- Collaborate with healthcare providers to obtain necessary information or clarification on authorization requests, ensuring a clear understanding of requirements.
- Stay updated on insurance policies, guidelines, and industry regulations to ensure proper authorization procedures and compliance.
- Collaborate with internal departments such as claims, customer service, and medical management to ensure seamless coordination and timely processing of authorizations.
- Assist with quality checks to ensure accuracy in authorization processing, minimizing errors and ensuring adherence to company standards.
- Assist in addressing and resolving any issues or concerns related to authorization, escalating complex cases to the appropriate channels as needed.
- Maintain accurate records of authorization activities.
- Performs other duties and responsibilities as assigned.
Qualifications:
- Education: High School diploma or equivalent
- Experience: 0 year's relevant experience
- Licenses/Certifications: None
