Highmark · 11 hours ago
Senior Intake Coordinator
PA
Full-time
Onsite
Mid, Senior Level
$20.31/hr - $30.12/hr
3+ years expHighmark Inc. is seeking a Senior Intake Coordinator to manage inbound phone inquiries for utilization management review from providers and pharmacies. The role involves assessing requests, ensuring accurate data entry, and maintaining compliance with regulatory requirements.
Health CareHealth InsuranceInsuranceWellness
Responsibilities
Handle all inbound phone requests from providers or pharmacy for all inbound Prior Authorization requests. Use multiple software systems and various resource sites to determine member plans and requirements while gathering all appropriate documentation including verification of benefit eligibility. Ensure conversation highlights are captured within the system. If required, build cases in the utilization management system
Utilize critical thinking to ensure call is being appropriately responded to while gathering all required documentation. Appropriately evaluate call and determine if de-escalation is required
Ensure accuracy of data entry to prevent compliance and/or downstream process issues
Other duties as assigned or requested
Qualification
Required
High School Diploma/GED
3 years of customer service experience
1 year of healthcare industry experience
Possess good written and oral telephonic communication skills
Ability to navigate through multiple systems simultaneously
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax
Ability to interact well with peers, supervisors, and customers
Problem-Solving
Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services
Company
Highmark
Highmark provides health insurance plans for individuals and businesses.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$27.3M2018-04-06Grant· $25M
2014-08-07Grant· $2.3M
Leadership Team
Deborah Rice-Johnson
CEO, Diversified Businesses at Highmark Inc. and Chief Growth Officer
Paul Sikora
CTO Provider Services
Recent News
2025-12-11
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