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Bilingual Intake Coordinator
Vālenz® HealthBilingual Intake Coordinator receiving calls and processing authorizations for healthcare. Collaborating with internal/external partners to ensure compliance with health plan policies.
About the role
Key responsibilities & impact- Receive inbound calls, faxes, and web requests from providers and/or clients
- Initiate and facilitate the authorization process in accordance with established health plan policies and procedures
- 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.
Requirements
What you’ll need- 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
- A plus if you have: Medical, claims, or collection call center experience. Medical Terminology Certification. Microsoft Office Suite experience.
Benefits
Comp & perks- Competitive benefits package with generous employer subsidies
- Flexible and remote working options
- 401k with generous employer match and immediate vesting
- Personal and professional development opportunities
- Supportive family benefits, including paid leave for new family members
- Companywide philanthropic program, Valenz Communities Connection
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical terminologycall center experiencecustomer supportauthorization processclinical information reviewcertificationdemographic documentationconcurrent reviewscripted clinical algorithmsLength of Stay benchmarks
Soft Skills
attention to detailproblem solvingcommunicationcourtesytimelinesscollaboration
Certifications
Medical Terminology CertificationGEDHigh School Diploma