Clinical Intake Analyst Jobs

Status: Contract- 6 Months

Job Title: Clinical Intake Analyst

Salary: $21- $24/hr

Location: 100% Remote within Oregon, Washington, Idaho, or Utah

About the company:

They have more than 4,500 employees working to transform how people experience health care. Recognized as a Top 100 Healthiest Workplaces and among the World’s Most Ethical Companies, we are rooted in a legacy that puts people first, always.

They are dedicated to making the healthcare experience simpler, better, and more affordable for people and their families, including the 3.3 million people they serve through their regional health plans.

They are deeply rooted in a 100-year legacy of transforming the industry and how people experience health care. And they’re committed to delivering a seamless, personalized healthcare experience for the next 100 years. They have taken their legacy business and pivoted to meet the needs of today’s healthcare consumers.

Clinical Intake Analyst Responsibilities:

The Clinical Intake Analyst acts as the initial point of receipt for all incoming work for the Clinical Service Operations teams (includes documents related to Utilization Management, Care Management, Disease Management, and Appeals). Manages timeliness and organization of work received in multiple ways and locations, images work into the system, and insures HIPAA and privacy standards are met for all incoming documents. Utilizes knowledge and experience to triage the work and determine the nature of the inquiry and correct work assignment.

General Functions and Outcomes:

• Manages high volumes of inquiries on a daily basis; is able to multitask, prioritizing and asking for assistance as necessary.
• Uses knowledge of member benefits, UM, CM, DM, and appeals and research to correctly identify the correct work type and appropriate workflow process.
• Manages workloads by distributing the work in a way that work can be completed within necessary timeframes.
• Uses appropriate tools and systems to research incoming documents related to utilization management (UM), case management (CM), disease management (DM), and provider and member appeals.
• Supports Performance Guarantees by providing coverage for urgent/expedited appeals on long weekends.
• Adheres to department standards for quality, timeliness, and department processes and procedures.
• Images documentation to comply with HIPAA and privacy laws.
• Performs basic administrative functions such as: Requesting maintenance or repairs for office equipment; Maintaining inventory, supplies, and files; and Assisting with mailing correspondence.

Clinical Intake Analyst Qualifications

• The Clinical Intake Analyst would have a High School Diploma or GED and general office experience plus 1 year of experience in Regence Customer Service or an equivalent combination of education and experience.
• Ability to evaluate clinical documents and forward them to others for resolution.
• Basic knowledge of medical terminology. Familiarity with health care benefits, systems, and documentation.
• Ability to work effectively in a team environment.
• Effective communication and basic writing skills.
• Ability to adapt to a fast-paced environment and learn, retain, and interpret new or evolving information, and processes.
• General computer knowledge (e.g. Microsoft Office products such as Word, Excel, Outlook, and Internet search).
• Demonstrated ability to work with limited supervision to prioritize work, meet deadlines and achieve operational standards.
• General organization, data entry, and administrative skills.

Work Environment:

• Location: Remote - Candidates MUST be located in one of the four states in which the company operates: Oregon, Washington, Idaho, or Utah. The contractor will be using company-provided equipment.