Business Professional Job In Irving, Texas
Supervisor Health Plan Intake Services - Health Plan Admin
Irving, Texas 75039 Type of Facility: Hospital
Summary:
This position is responsible for the coordination of the Referral/Precertification Management information between the UM/CM Department and providers. Requirements include ability to manage, supervise, and orient intake staff.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Develop and train intake staff.
- Manage staff of Intake Coordinators during business expansion.
- Monitor Case Load and distribution of all Intake Coordinators.
- Provide internal chart audits.
- Answers incoming calls and retrieves phone mail requests as time permits to manage phone stats.
- Prepares Utilization Management reports, letters, and memos as requested.
- Acts as liaison for customer service and other outside entities as required.
- Collaborates with other departments within the organization.
- Identifies areas of potential improvement in work flow.
- Receive process and complete data entry of demographic information for all referral and authorization requests from providers via fax or phone and as appropriate, forward to precertification nurse/care manager/case manager.
- Begin on-line process utilizing skills of typing, medical terminology and ICD/CPT coding.
- Adhere to URAC standards Follows Christus Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA).
- Attend monthly departmental meetings and/or interdepartmental meetings as appropriate.
- Must have working Knowledge of Medical Terminology and CPT background.
- Must have good typing skills.
- Must have basic knowledge of computers.
- Must have excellent customer service skills.
- Must work well with diverse group of individuals.
Requirements:
- High School diploma required.
- Minimum of two years management experience required.
- Minimum of two years of experience in managed care environment required
Work Type:
Full Time
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.