Job description

Create Your Career With Us!

Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.

Facility: GSS FL Kissimmee

Location: Kissimmee, FL

Address: 1543 Aldersgate Dr, Kissimmee, FL 34746, USA

Shift: 8 Hours - Day Shifts

Job Schedule: Full time

Weekly Hours: 40. 00

Job Summary

The intake coordinator serves as a support to health plan teams by completing administrative tasks and coordinating activities such as answering telephones, taking messages and answering routine questions. In addition, composes, types and distributes meeting notes, routine correspondence, presentations, billing, reimbursement or monthly reports. May maintain master copies of company policy and procedure manuals, keeping them up-to-date. Manages all mailings to members and responsible for necessary correspondence. Documents all member/provider interaction in member database software per expected workflow. Strong verbal and written skills geared toward communicating by phone, in writing and in person. Must project a positive and professional image. Must be able to interact compassionately with members on a one-on-one basis and anticipate their needs through careful listening and patience. Must be highly organized and able to handle multiple tasks under constant pressure. Microsoft Office skills are required. Awareness of when and how to access additional resources to meet needs of members.

For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy management, triages inbound and outbound calls, processes intake requests (prior authorizations), completes data entry and assigns cases to appropriate clinical team members. Supports medical management programs and operations. Case management leads the initial intake and review of members who are eligible for medical and behavioral health case management services. Assigns members to team based on risk score and clinical rules. Provides support to case managers by scheduling telephonic visits with members, completing initial clinical screening questionnaire of members, facilitating correspondence with members including educational materials and other resources. Reviews Sanford Health Plan member risk score reports.

For individuals supporting non-clinical areas, additional duties may include but not limited to: tracking metrics/dashboards; files details from workshops, events or other assigned functions with CMS and provides compliant materials specific to the event. Manages correspondence/communications with potential clients/customers and routes prospect calls for assistance. Schedules meetings and calls for assigned staff members when needed. Coordinates with Marketing for event mailings.

Qualifications

High school diploma or equivalent preferred. Associate degree preferred.

Two years in a business or health care setting with strong emphasis on customer service and handling confidential matters. Health system experience preferred

Based on facility needs, may require a valid driver s license and maintain a good driving record.

Benefits

The Good Samaritan Society offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

The Good Samaritan Society is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

The Good Samaritan Society has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0143712

Job Function: Health Plan

Featured: No

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