What are the responsibilities and job description for the Intake Specialist I position at HMA?
We are proud to say that for three years, HMA has been chosen as a 'Washington's Best Workplaces' by our Staff and PSBJ. Our vision, 'Proving What's Possible in Healthcare,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at:
How YOU will make a Difference:
The Intake Specialist is responsible for managing all incoming calls for prior authorizations. Advocates in this position obtain clinical and demographic information to determine authorization requirements and create cases for review. Advocates ensure requests are set up accurately, auto certified when appropriate and request clinical documentation for nurse reviews when necessary.
What you will do:
- Manage and document inquiries for prior authorizations
- Verify eligibility and plan requirements
- Appropriately triage the labeling and distribution of incoming and outgoing department faxes
- Collaborate with nurses for case processing
- Adhere to Department of Labor guidelines in response to prior authorization inquires, approvals and denials
- Adhere Health Insurance Portability and Accountability Act in response to prior authorization inquires, approvals and denials
- Assist members in understanding their authorization, denials and appeal rights
Knowledge, Experience, and Key Attributes needed for Success:
- High school diploma or equivalent
- Business Knowledge:
- Foundational knowledge of the care management function, plan requirements, and eligible services
- Familiarity with medical terminology through course work and certification or previous on the job experience
- Excellent communication skills both in writing and verbal
- Previous experience working in a medical or healthcare field is preferred
- Service Oriented: Provides positive, supportive, and informational assistance
- Highly Organized/Attention to Detail: Data entry accuracy and attention to detail and follow-up
- Troubleshooting: Ability to identify issues and effectively route the request
Compensation
The base salary range for this position in the greater Seattle area is $23/hour for a level I and varies dependent on geography, skills, experience, education, and other job or market-related factors. While we are looking for level I, we may consider level II for highly qualified candidates with a base hourly range of $25-$27 per hour. In addition, HMA provides a generous total rewards package for full-time employees that includes: seventeen (IC) days paid time off; eleven paid holidays, one paid personal and one paid volunteer day; company-subsidized medical, dental, vision, and prescription insurance; company-paid disability, life, and AD&D insurances; voluntary life insurances; HSA and FSA pre-tax programs; 401(k)-retirement plan with company match; wellness incentive and reimbursement; remote work and continuing education reimbursements; discount program; parental leave; and a charitable giving match. For more information about HMA, visit .
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
How we Support your Work, Life, and Wellness Goals
We offer a comprehensive total rewards package including: competitive pay; annual incentive; medical, dental, and vision insurance; 401K retirement plan with match; generous PTO and holidays; an onsite gym facility; a gym subsidy; Life, AD&D, Short-Term and Long-Term Disability Insurances; an Employee Assistance Plan; free parking and easy freeway access to I-405 and I-520; a well-stocked kitchen on-site with subsidized snacks and refreshments; year-round wellness activities; the ability to earn a $500 wellness incentive; monthly events; paid volunteer hours and more!
HMA requires a background screen prior to employment.
Protected Health Information (PHI) Access Healthcare Management Administrators (HMA) employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures.
HMA is an Equal Opportunity Employer
Salary : $23 - $25
