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Vālenz Health® · 2 months ago

Bilingual Intake Coordinator

United States

Full-time

Hybrid

Entry Level

2+ years exp

Vālenz Health® is a platform that simplifies healthcare, aiming to reduce costs and improve quality for employers, payers, providers, and members. As a Bilingual Intake Coordinator, you will handle inbound requests, facilitate the authorization process, and ensure compliance with health plan policies.

Insurance

Responsibilities

Document demographic information obtained from telephonic, fax, or emailed requests within the care management system

Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review

Screen inquiries to determine the services that require certification at the time of the inquiry

Obtain clinical information and forward the caller to the clinical staff for completion of the review

Provide certification based upon scripted clinical algorithms or benchmark Length of Stay

Collaborate and effectively communicate with internal and external partners

Stay up to date on Summary Plan Documents and other related resources related to service requests

Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met

Performs other related duties as assigned by supervisor

Qualification

Bilingual SpanishBilingual EnglishHigh-volume call center experienceMedical terminology knowledgeMicrosoft Office SuiteProblem solvingCommunicationAttention to detail

Required

2+ years of experience in high-volume call center or customer support environment

High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members

Strong problem solving skills

Excellent communication skills, both verbal and written

GED or High School Diploma

Fluent in reading, writing, and speaking Spanish and English

Preferred

Medical, claims, or collection call center experience

Medical Terminology Certification

Microsoft Office Suite experience

Benefits

Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.

Spending account options: HSA, FSA, and DCFSA

401K with company match and immediate vesting

Flexible working environment

Generous Paid Time Off to include vacation, sick leave, and paid holidays

Employee Assistance Program that includes professional counseling, referrals, and additional services

Paid maternity and paternity leave

Pet insurance

Employee discounts on phone plans, car rentals and computers

Community giveback opportunities, including paid time off for philanthropic endeavors

Company

Vālenz Health®

Vālenz Health® is the platform to simplify healthcare – the destination for employers, payers, providers, and members to reduce costs, improve quality, and elevate the healthcare experience.

Founded in 2004

Radnor, PA, US

501-1000 employees