Intake Coordinator

Guide Healthcare

. Review and approve routine referrals and pre-certifications for Blue Cross HMO .

Posted 10/7/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $20 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing referrals and pre-certifications within a healthcare setting, utilizing ICD-10 and CPT coding for accurate documentation and compliance. Strong organizational and time management skills are essential for maintaining confidentiality and supporting healthcare providers effectively.

Highest-signal resume keywords

ICD-10 CodingCPT CodingHMO KnowledgeHealthcare ExperienceExcel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingCPT CodingHMO KnowledgeMedical CodingReferral ManagementPre-Certification ProcessingData EntryAudit ProceduresConfidentiality MaintenanceTask Organization

Soft Skills

Time ManagementIndependent WorkOrganizational Skills

Tools & Technologies

ExcelPDF ConverterAdobe Pro

Industry Keywords

HealthcareReferralPre-CertificationClinical ServicesProvider RelationsClaims Processing

About the role

Key responsibilities & impact

Review and approve routine referrals and pre-certifications for Blue Cross HMO
Initiate pre-review screening for complex referrals and pre-certifications
Submit complex cases and potential denials to the Clinical Services Department
Provide clerical support through computer entry and inbound/outbound phone calls
Enter referrals and pre-certifications using application protocols
Maintain confidentiality of healthcare information
Enter referrals and pre-certifications accurately using ICD-10 and CPT coding
Review referral and pre-certification authorizations accurately and promptly
Assist physician offices and providers with referral and pre-certification questions
Work with Provider Relations and Claims staff to resolve discrepancies
Assist nursing staff with internal referral manuals
Adhere to audit procedures
Perform other duties as assigned

Requirements

What you’ll need

Prior experience in a healthcare setting
Strong knowledge of HMO
Knowledge of basic Excel functions
Knowledge of PDF Converter and/or Adobe Pro
Understanding of medical coding, including CPT and ICD-9
Organized and task oriented
Strong time management skills
Ability to work independently
Ability to maintain strict confidentiality of healthcare information
Ability to accurately use ICD-10 and CPT coding
Employees must provide their own internet connection
Minimum internet speed of 100 Mbps download and 10 Mbps upload
Employees must be accessible during stated working hours
Must disclose any secondary employment

Benefits

Comp & perks

Fully remote work
Necessary work equipment provided at no charge
Medical, dental, and vision plans
401(k) plan with a 3% employer match to a 6% employee contribution
Life and disability insurance
Voluntary life insurance options
Employee Assistance Program (EAP)
Paid time off plans
Paid parental leave
Learning and development resources
Virtual meetings with cameras on to foster connection and engagement