Intake Specialist

Company: Ethos Risk Services
Location: Raleigh
Posted on: May 26, 2023

Job Description:

Position Overview
The Intake Specialist is responsible for handling and coordinating administrative functions of the utilization
review process. This is a non-clinical position and the Intake Specialist is not responsible for and is prohibited
from conducting any utilization management activities that require clinical information interpretation. The
Utilization Review Nurse, Utilization Review Team Supervisor and/or Utilization Review Manager perform
oversight of initial screening and are available to non-clinical staff.

Role and Responsibilities

• Receives, screens and manages mail, faxes and calls
• Reviews service request for completeness of information
• Collection and data entry of structured clinical data (including diagnosis codes, procedures, procedure codes) and demographic information into the Novare Utilization management System DDR)
• Assign reviews to Utilization Review Nurse
• Assists with written determination letter communications via fax, email, or written mail under the direction of the Utilization Review Nurse
• Provides customer service functions
• Adheres to Novare Policies and Procedures and URAC standards as appropriate to job functions
• Assists in promoting and furthering the objective of the Quality Management Program
• Maintains confidentiality and security in all aspects of performance
• Performs other related duties incidental to the work described herein Qualifications
  
  Education
  • High school diploma or equivalent required
  • Associate or Bachelor degree preferred Experience
    • 1 year of customer service assistance
    • Experience with CPT/ICD-10 coding preferred Skills/Knowledge
      • Good customer service skills
      • Strong oral and written communication skills
      • Computer knowledge required, including Microsoft Office products
      • Able to perform as part of a team
      • Strong organizational skills
      • Excellent interpersonal skills
      • Discretion and confidentiality
      • Ability to multi-task
        
        Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law.

Keywords: Ethos Risk Services, Raleigh , Intake Specialist, Other , Raleigh, North Carolina