Intake Agent

Intake Agent

  Not Disclosed

  Woonsocket, RI (100% Remote)

  3.0 Months

  Not Disclosed

  Not Disclosed

  Pharmaceutical

  $15.55/hour - $17.55/hour

Job Description

Description :

Position Summary

The Intake I (IQA) Associate takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all requests, and transfers all clinical questions and judgement calls to the nurse or pharmacist. The Intake I (IQA) Associate will also assist with other duties such as outbound calls, monitoring/responding to inquiries in mailboxes and other duties as assigned by the leadership team.

Duties

Customer service focus. Basic experience in MSWord and MSExcel. Familiar with medical terminology and knowledge of medical coding. Ability to read and interpret billing documents. The position also requires an extensive amount of data entry work.

Experience

2 years experience.
1.Strong Attention to detail
2.Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality
3.Proficient computer skills and the ability to navigate in a Windows based environment
4.Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible
5.Ability to work in a high pressure, time sensitive environment
6.Project a professional business image, through phone interaction as well as internal communications
7.Demonstrated problem-solving ability and attention to detail
8.Demonstrated sense of urgency with assignments
9.Strong organizational skills
10.Strong telephone skills
11.Ability to read and understand pharmacy/medical terminology
12.Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations.
13.Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations. Ability to perform basic mathematic calculations maybe required
14.Ability to interpret a variety of work instructions provided through a variety of mediums
15.Ability to anticipate needs and resolve issues with urgency
16.Ability to consistently meet quality and production standards
17.Displays confidence in the ability to learn complex material
18.Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results

Education

High School Diploma or GED required. Associates degree in Business, Accounting or equivalent work experience preferred.

Note :

Fully remote
Training schedule is approximately four to six weeks starting 11/18/2024 Monday to Friday 8am-4:30pm ET, then schedule will be assigned: Expected shifts to be 8 hours per day, Position requires schedule flexibility. Weekend and evening shifts may be required. Permanent schedule to be decided after training. Phone hours are from 9am-7pm ET .
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status