CDS Intake Speciallist

Cds Intake Specialist

First point of contact for network providers, physicians, and members. Responsible for processing incoming prior-authorization requests via phone, fax and web while ensuring that both internal and external customers receive a level of service that exceeds their expectations. Intake Specialist will utilize two methods of communication (inbound and outbound) calls and written correspondence. Must respond to and resolve questions and problems from network providers, imaging centers / facilities, members, and referring providers. Intake Specialist also receives inbound calls on follow-up to existing authorization request either in process or processed.

Key Responsibilities

• Receive / process authorization request intake via phone, fax and / or web
• Collect and transfers non-clinical data
• Acquire structured clinical data
• Review authorization request for completeness of information
• Verify eligibility
• Verify physician and rendering facility participation
• Initiate an online authorization based on information received
• Submit cases for second level review if medical necessity cannot be established
• Provide customer service to callers following-up on existing authorization request either in process or processed
• Perform functions according to client program design
• Perform other duties / functions as directed from Supervisor

Required Qualifications

Work Experience : Years of Applicable Experience - 0 or more years

Education : High School Diploma or GED (Required)

Preferred Qualifications

Skills : Data Entry, Customer Service, Detail-Oriented, Strong Written and Verbal Skill

Experience : 1 year of applicable experience (e.g. prior experience in medical, healthcare, and / or contact center setting)

Education : High School Diploma or GED

Additional Job Requirements

Working Conditions : Remote Travel Requirements : No travel required Physical Demands : Sedentary : Exerting up to 10 pounds of force occasionally, and / or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met.

Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $42,000 - $63,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills / experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges.

Employees also receive access to the following benefits :

Premier at a glance :

Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people.

Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer.

Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at 704.816.5200. Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier's Privacy Policy.