Intake Coordinator

• 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

Explore Intake Coordinator at Guide Healthcare. Review requirements and application details.