Job title: Intake Coordinator
Company: Evolent Health Services
Job description: It’s Time For A Change Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We
It’s Time For A Change Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing Absolutely – about 40% in year-over-year revenue growth in 2018. Are we recognized Definitely. We have been named one of ‘Becker’s 150 Great Places to Work in Healthcare’ in 2016, 2017, 2018 and 2019, and one of the ’50 Great Places to Work’ in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it. What You’ll Be Doing: Evolent is looking for the intake coordinator who can perform below activites Enters data into authorization system for admissions, outpatient procedures, therapies, home health, and DME. Promptly records demographic information while meeting quality audit thresholds Accurately verifies member eligibility and provider participation prior to routing case to Utilization Management Nurse, noting any discrepancies/problems in notes received form provider. Provides provider with case reference number upon completion of data entry and /or nurse approval. Performs initial coding of admission and surgical procedures for precertification. Chooses appropriate ICD-10-CM and /or CPT-4 procedure code at time intake is completed. Maintains a current knowledge base with regards to rules, regulations, policies, and procedures relating to precertification and concurrent review. Regularly reviews and monitors compliance with Evolent Health Plan policies and procedures. Adheres to state and federal regulations. Promptly makes recommendations to ensure compliance with rules, regulations, policies and procedures. Assists with developing and updating policies and procedures as needed or requested. Prepares medical denial letters for UM staff as requested. Responds in an intelligent and comprehensive manner and displays a clear understanding and accurate reflection of Evolent Health goals, objectives, policies, procedures, and priorities. Addresses the majority of inquiries independently without unnecessary or recurring contact or excessive dependence on supervisor. Discriminates between routine and significantly sensitive matters or those issues for which direct response is inappropriate promptly apprises immediate supervisor or assigned designee and or refers the issue to the appropriate individual. Addresses request promptly and courteously, honors commitments and displays persistence obtaining necessary information to address issues and problems. Perform other duties and projects as assigned.
Location: Pune, Maharashtra
Job date: Fri, 11 Mar 2022 23:11:29 GMT
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