• Intake Coordinator - Utilization Management

    Sanford Health (Sioux Falls, SD)


    Careers With Purpose

     

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

     

    **Facility:** GSS National Campus

    **Location:** Sioux Falls, SD

    **Address:** 4800 W 57th St, Sioux Falls, SD 57108, USA

    **Shift:** 8 Hours - Day Shifts

    **Job Schedule:** Full time

    **Weekly Hours:** 40.00

    **Salary Range:** $16.00 - $25.50

     

    Department Details

     

    The Intake Coordinator position supports the Health Plan Utilization Management team and assists with members and provider calls related to authorizations.

     

    Hours of Operation: Monday through Friday, 8 am to 5 pm, no weekends or holidays

    Job Summary

    The intake coordinator serves as a support to health plan teams by completing administrative tasks and coordinating activities such as answering telephones, taking messages and answering routine questions. In addition, composes, types and distributes meeting notes, routine correspondence, presentations, billing, reimbursement or monthly reports. May maintain master copies of company policy and procedure manuals, keeping them up-to-date. Manages all mailings to members and responsible for necessary correspondence. Documents all member/provider interaction in member database software per expected workflow. Strong verbal and written skills geared toward communicating by phone, in writing and in person. Must project a positive and professional image. Must be able to interact compassionately with members on a one-on-one basis and anticipate their needs through careful listening and patience. Must be highly organized and able to handle multiple tasks under constant pressure. Microsoft Office skills are required. Awareness of when and how to access additional resources to meet needs of members.

     

    For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy management, triages inbound and outbound calls, processes intake requests (prior authorizations), completes data entry and assigns cases to appropriate clinical team members. Supports medical management programs and operations.

    Qualifications

    High school diploma or equivalent preferred. Associate degree preferred.

     

    Two years in a business or health care setting with strong emphasis on customer service and handling confidential matters. Health system experience preferred

     

    Based on facility needs, may require a valid driver’s license and maintain a good driving record.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

     

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] .

     

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

     

    **Req Number:** R-0242743

    **Job Function:** Health Plan

    **Featured:** No