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Intake Representative I
Centene Corporation. Enter specific data/information from physicians’ requests into a medical management authorization system.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in data entry and validation within a healthcare context, ensuring accurate processing of patient and provider information while adhering to contractual standards. Excels in communication and collaboration to enhance customer service and achieve departmental goals.
Highest-signal resume keywords
Alpha And Numeric Data EntryPatient Eligibility DeterminationDemographic Information ValidationProduction TrackingCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryHealthcare AuthorizationReferral ProcessingOutcome Data ReportingBusiness Letter Formatting
Soft Skills
Problem SolvingCollaborationAttention To Detail
Tools & Technologies
Medical Management Authorization System
Certifications & Qualifications
High School Diploma Or EquivalentMedically Based Trade School Diploma/Certification
Industry Keywords
Managed CareClaims/BillingHealth InsuranceCall CenterCustomer Service
About the role
Key responsibilities & impact- Enter specific data/information from physicians’ requests into a medical management authorization system.
- Achieve required production quota and quality standards.
- Validate patient and medical provider demographic information, including provider selection by specialty.
- Determine patient eligibility for healthcare benefits, Primary Care Manager type, and referral/authorization path.
- Contact medical provider offices by telephone and make confirmation calls to patients for urgent requests.
- Make decisions to keep the referral/authorization process moving according to contractual timeliness standards.
- Redirect patients into the provider network for care as required.
- Formulate brief sentences/paragraphs from referral/authorization orders.
- Prepare correspondence in business letter format for servicing providers.
- Generate letters and verify correct providers, patients, demographics, and service reasons.
- Account for personal production using reports containing outcome data.
- Track performance, improve work processes, and prioritize tasks.
- Review situations, identify problems, recognize patterns, and determine solutions.
- Collaborate with co-workers to achieve department goals and provide outstanding customer service.
Requirements
What you’ll need- Qualified candidates must be located in the state of Missouri.
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
- High School diploma or equivalent.
- Six months experience in a production/data entry environment performing alpha and numeric data entry in a healthcare related organization such as managed care, claims/billing, health insurance, customer service, call center, or claims office preferred.
- College course work preferred.
- Medically based trade school diploma/certification desired.
- Ability to perform alpha and numeric data entry.
- Ability to validate patient and medical provider demographic information.
- Ability to determine patient eligibility, Primary Care Manager type, and referral/authorization path.
- Ability to follow step-by-step instructions and contractual standards.
- Ability to formulate brief correspondence in business letter format.
- Ability to accurately track production and outcome data.
- Ability to review situations, identify problems, recognize patterns, and determine solutions.
- Ability to work collaboratively and provide outstanding customer service.
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity