All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".
Job Title : Intake Care Senior Representative
Duration : 4 months
Location : 100% Remote
Pay rate : $21 / hr on W2
Schedule Notes :
- M-F, Shifts will land between 7 : 30AM-7 : 30PM CST 8 Hour shifts with 30 min lunch Training will be the first 4 weeks.
This position is 100% remote and candidates can be sourced from across the US as long as they're able to support the CST schedule.
Candidates submitted cannot have any time off during the first 5 weeks - do not submit candidates that have pre-planned time off during this timeframe.
Candidates must have a quiet and private working environment.
Candidates must have a reliable, high-speed internet connection.
Candidates must have a hard-wired internet connection to connect into the equipment - WiFi connection will not suffice.
Position Summary :
The Pre-Certification Specialist is responsible for supporting the Precertification Nurse, Medical Director and Director of Health Services by collecting, interpreting and evaluating medical information received for authorization.The Pre-cert Specialist will communicate with internal and external providers regarding authorization status.This position is for a phone queue representative.Essential Duties and Responsibilities :
Receive request for authorization from hospitals, providers, customers and vendors via fax, phone and portalMeet service level goals (e.g., Grade of Service, Average Handle Time, Average Speed to Answer, abandonment rate)Determine authorization requirements based on company policy, member benefit grid and provider statusReview customer coverage and benefitsReview authorization requests and make determinations on correct authorization process (i.e. auto approve, refer to Utilization Management Nurse)Maintain benchmark standards for TAT (Turn-Around-Time) as established by the organization.Professional demeanor and the ability to work effectively within a team or independentlyFlexible with the ability to shift priorities when requiredMaintains regular and acceptable attendance in accordance with Time Away From Work policyAbility to work evening, weekend and holiday shifts to support the UM DepartmentOther duties as requested.Qualifications :
Proficient in medical terminology, CPT, HCPCS and ICD-10 codingEffective oral and written communication skillsStrong customer orientationSubstantial knowledge of Microsoft Office including Outlook, PowerPoint, Excel and WordExcellent typing skillsPrevious call center / phone queue experience required.Knowledge, Skills, Abilities Required :
Excellent interpersonal and communications skills with nursing staff, physicians, nurse practitioners and other health workers involved in the care of a customerAbility to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environmentProficient knowledge of departmental policies and proceduresKnowledge of Medicare Regulatory RequirementsPrevious experience working in a remote environmentEducation :
High School Diploma and preferred 1-2 years experience in a managed care environment.About ASK : ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities
ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.
Salary : $21
