Clinical In-take Specialist

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The Role
+ The Clinical Intake Specialist (Customer Service) is an integral part of Utilization Management, processing telephonic and fax notifications, referrals, and requests for authorization from members, facilities, and physician offices. The Clinical Intake Specialist (Customer Service) utilizes organizational and communication skills, principals of managed care, knowledge of regulatory requirements, and collaborative interactions with the clinical reviewers and provider community to facilitate efficient and timely requests.The Clinical Intake Specialist (Customer Service) focuses on building and updating referrals and authorization requests in the member record that are essential to conducting the review process and enabling accurate and timely claims payment. The Clinical Intake Specialist (Customer Service) works primarily by fax and telephone to ensure that all necessary information is received so t...