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Req. No

14005

Job Title

Supervisor Intake Coordinators

Market

CHRISTUS System Office

Category

Revenue Cycle

Facility

CHRISTUS Corp Health Plan 919 and 909 Buildings

Address

919 Hidden Ridge
Irving, TX  75038
USView Other Locations

Type

FULL TIME

Apply Now Supervisor Intake Coordinators Job in Irving

Summary:

The Supervisor Medical Management supervises and leads the Utilization and Case Management Departments, including planning, organizing, and coordinating the activities of the Utilization Management and Case Management programs. Requirements include demonstrating mastery of the managed care environment, TRICARE, DoD, Utilization Management and Case Management standards and programs, and USFHP Policies and Procedures. Ability to develop and manage within budgetary guidelines. This position includes daily clinical discretionary capacity that has potential to affect the financial well being of the health plan.

  • Develop and train intake staff
  • Manage staff of Intake Coordinators during business expansion
  • Monitor Case Load and distribution of all Intake Coordinators
  • Provide internal chart audits
  • Answers incoming calls and retrieves phone mail requests as time permits to manage phone stats
  • Prepares Utilization Management reports, letters, and memos as requested
  • Acts as liaison for customer service and other outside entities as required
  • Collaborates with other departments within the organization
  • Identifies areas of potential improvement in workflow
  • Receive process and complete data entry of demographic information for all referral and authorization requests from providers via fax or phone and as appropriate, forward to precertification nurse/care manager/case manager.
  • Begin on-line process utilizing skills of typing, medical terminology and ICD/CPT coding
  • Adhere to NCQA and other applicable standards
  • Follows CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA)
  • Attend monthly departmental meetings and/or interdepartmental meetings as appropriate
  • Ability to work a flexible work schedule including evenings and weekends

Requirements:

  • High school diploma
  • Working Knowledge of Medical Terminology and CPT background
  • Good typing skills
  • Basic knowledge of computers
  • Excellent customer service skills
  • Works well with diverse group of individuals

Work Type: 

Full Time


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