Boon-Chapman Hiring for Intake Coordinator Representative-Work From Home at New Braunfels, TX Full Time

Company Overview

Boon-Chapman is not your average Third Party Administrator. In addition to traditional TPA services, Boon-Chapman administers business process outsourcing for insurance entities, and other services through its sister companies. With nearly 55 years in business, Boon-Chapman combines the legacy of a family-owned-and-operated company, with the energy and potential of a fast-growing enterprise of companies. A few of our benefits include:

• Paid holidays & competitive PTO that increases with tenure
• Full benefits package including healthcare, dental, 401(k), vision, paid STD & life
• Casual everyday dress
• Free onsite doctor (three days a week)
• Unlimited opportunities for growth – success is in your own hands!

Job Overview

As an Intake Coordinator you’ll be primarily responsible for telephonic intake and documentation of initial precertification, claims review, and predetermination information received via telephone, fax or e-mail. Communicate employer plans precertification requirements, and verify status of precertification via telephone or fax.

Job Responsibilities

• Primarily answers incoming calls to Prime Dx, based on call center standards.
• Reviews and completes the daily Intake Queue workflow.
• Documents accurate notes of caller’s information and return contact information.
• Assists with processing of all Prime Dx incoming and outgoing faxes
• Transfers telephone calls to Utilization Review Nurse to receive clinical information
• Documents appropriate notes of caller’s information and return contact information using Deer Walk Care Manager Software
• Refers received fax or telephone clinical information to nurses to make a medical necessity determination of requested service.
• Verifies and communicates employer group’s precertification requirements.
• Data enter admission and referral events authorization after nurse’s review
• Verifies and relays authorization information and status in Deer Walk Care Manager to callers via telephone or fax, and provides Prime Dx disclaimer.
• Directs and transfers appropriate calls to Boon Chapman’s Customer Service department, Claims department, and to the Prime Dx Nurses for benefits, claims, and eligibility inquiries.
• Performs other tasks/duties as assigned including use of Excel and Outlook

Experience and Education

• Experience in general office work and computer software (Microsoft Outlook, Word, and Excel).
• High school diploma or equivalent. Experience and education may be substituted for one another.
• Ability to take multiple incoming calls for clinic and preauthorization services.
• Ability to multi-task with the support clinic and preauthorization services.
• Skill in interpersonal and written communication.
• Ability to accurately compile data and perform detailed work.
• Ability to meet deadlines.
• Ability to maintain regular attendance and exhibit flexibility based on departmental needs.
• Ability to maintain confidentiality of material and information.
• Ability to maintain professional appearance and demeanor.
• Ability to work as a member of a team.