You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking an Intake Coordinator to manage high-volume inbound calls related to utilization management. This role involves triaging prior authorization requests, responding to inquiries regarding authorization requirements, performing accurate data entry, and monitoring voicemail and call queues. The individual will coordinate with internal teams to ensure timely follow-up and compliance with CMS turnaround time requirements.
Key Responsibilities
- Manage high-volume inbound calls related to utilization management, including provider and member inquiries.
- Triage prior authorization requests, determining next steps and routing to clinical UM staff when appropriate.
- Respond to questions regarding authorization requirements, status, and documentation needs.
- Perform accurate data entry and documentation within utilization management systems.
- Monitor and manage voicemail and call queues, ensuring timely follow-up and resolution.
- Coordinate with internal teams to escalate complex or clinical inquiries appropriately.
- Support compliance with CMS turnaround time requirements and internal UM workflows.
Qualifications
- Prior healthcare experience in utilization management, prior authorization, patient access, billing, or a related administrative healthcare function.
- Working knowledge of prior authorization concepts and medical codes (CPT, ICD-10, HCPCS).
- Strong phone-based customer service experience, comfortable handling frequent inbound calls and triaging inquiries.
- Accurate data entry and documentation skills within healthcare or insurance systems.
Skills
- Experience supporting prior authorization or UM intake workflows, either on the payer or provider side.
- Comfort navigating multiple healthcare systems simultaneously, including UM platforms, call systems, and Microsoft tools.
- Strong call triage and prioritization skills, with the ability to manage fluctuating inbound volume without a call-center structure.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
Medix is an equal opportunity employer.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.