POSITION TITLE: Intake Coordinator

ORGANIZATIONAL UNIT: Corporate

ORGANIZATIONAL UNIT HEAD: Intake Manager

FLSA EXEMPTION: Non-Exempt

COMPENSATION: $40,000.00-$60,000.00 (based on experience)

LOCATION: Austin, TX (Must reside in and around location during time of application)

+--------------------------------------------------------------------------+ | POSITION PURPOSE:  The Intake Coordinator is responsible for developing, | | implementing and monitoring CMT Intake Programs, analyze claim loss and | | cost reserve data and monitor claims processing. MUST HAVE EXPERIENCE | | WITH WORKERS' COMPENSATION CLAIMS, PRIOR AUTHORIZATIONS AND COMFORTABLE | | WORKING WITH ADJUSTERS AND NURSE CASE MANAGERS.  | +--------------------------------------------------------------------------+ | PRINCIPAL ACCOUNTABILITIES: | | | | Essential duties and responsibilities include the following: | | | | - Responsible for the DME business aspects of arranging care regarding | | insurance verification, coverage limits and identifying and | | qualifying medical documentation requirements as applicable.  | | | | - Manage incoming referrals and maintain track of all inquiries and | | responses provided.  | | | | - Utilize Salesforce to conduct day-to-day business responsibilities | | according to standard operating procedures. | | | | - Responsible for incoming and outgoing, high volume telephone calls | | acting as liaison for insurance companies and sales reps to process | | prior authorizations, appeals and updates.   | | | | - Provide efficient, accurate and timely updates to sales reps and | | instruct on payer coverage criteria. | | | | - Research required information using available resources to complete | | referral submissions and updates. | | | | - Provide training for new intake specialists as needed. | | | | - Identify and escalate priority issues to Intake Manager for timely | | completion of referrals. | | | | - Other duties may be assigned as applicable. | +--------------------------------------------------------------------------+ | MINIMUM REQUIREMENTS/QUALIFICATIONS: | | | | To perform this job successfully, an individual must be able to perform | | each essential duty satisfactorily. The requirements listed below are | | representative of the knowledge, skill, and/or ability required. | | Reasonable accommodations may be made to enable individuals with | | disabilities to perform the essential functions. | | | | EDUCATION AND/OR EXPERIENCE  | | | | 1-year customer service experience preferably with insurance | | verification or DME experience. 3 years of experience working with | | workers’ compensation claims and commercial insurance claims as an | | intake specialist is required. Bachelor’s Degree preferred in addition | | to experience but may not be substituted for experience.  | | | | LANGUAGE SKILLS | | | | Ability to read, analyze, and interpret general business periodicals, | | professional journals, technical procedures, or governmental | | regulations.  Ability to write reports, business correspondence, and | | procedure manuals.  Ability to effectively present information and | | respond to questions from groups of managers, clients, customers, and | | the general public. | | | | MATHEMATICAL SKILLS  | | | | Ability to calculate figures and amounts such as discounts, interest, | | commissions, proportions, percentages.  Ability to apply concepts of | | basic algebra and geometry. | | | | REASONING ABILITY  | | | | Ability to define problems, collect data, establish facts, and draw | | valid conclusions. Ability to interpret an extensive variety of | | technical instructions in mathematical or diagram form and deal with | | several abstract and concrete variables. | | | | PHYSICAL DEMANDS   | | | | The physical demands described here are representative of those that | | must be met by an employee to successfully perform the essential | | functions of this job. Reasonable accommodations may be made to enable | | individuals with disabilities to perform the essential functions. | | | | While performing the duties of this job, the employee is regularly | | required to talk or hear.   | | | | WORK ENVIRONMENT   | | | | The work environment characteristics described here are representative | | of those an employee encounters while performing the essential functions | | of this job. Reasonable accommodations may be made to enable individuals | | with disabilities to perform the essential functions. | | | | The noise level in the work environment is usually quiet. | +--------------------------------------------------------------------------+ | SKILLS AND KNOWLEDGE: | | | | WORK SKILLS – attention to detail; strong computer skills, and superior | | telephone communication skills at high volume throughout the day. | | | | BUSINESS PLANNING Establishes, develops, communicates and implements | | effective plans that align unit, department and individual contribution | | with CMT’s Mission/Vision and corporate goals. | | | | RESOURCE MANAGEMENT Acquires and deploys resources so as to maximize | | performance and value added, while effectively managing costs. | | | | FOCUS ON CUSTOMERS: Aggressively seeks to anticipate, meet and whenever | | possible, exceed the needs and expectations of internal and external | | customers. | | | | SHOWS ADAPTABILITY: Willing and able to adjust to rapidly changing | | priorities, multiple demands, and ambiguity | | | | (COMMUNICATION) – LISTEN ATTENTIVELY, WRITE EFFECTIVELY, SPEAK WITH | | IMPACT : Communicates clearly, concisely and with sensitivity to the | | needs of others in all aspects of written and spoken communications. | | | | ESTABLISH RELATIONSHIPS AND ESTABLISH TRUST: Fosters excellent | | achievement through teamwork. | | | | SHOW DRIVE AND INITIATIVE AND MANAGE AND IMPROVE PROCESSES : Embraces | | innovation and change as healthy, and as a source of opportunity.  | | Generates new ideas and approaches to solve problems and creates | | business opportunities, while maximizing existing resources. | | | | INFLUENCE OTHERS: Build give and take relationships; Exercise good | | judgment and timing; Develop and articulate compelling positions; Ensure | | your positions address others’ needs and priorities; Know whom to | | involve and when; build alliances and strive to create win-win | | situations. | | | | MANAGE EXECUTION: Establishes clear levels of action to achieve desired | | results on time and on budget / on KPI metrics. | | | | ANALYZE ISSUES AND MAKE SOUND DECISIONS: Applies sound analysis and | | logic, balanced with creative and critical thinking to reach practical | | solutions and decisions. | | | | COACH AND DEVELOP OTHERS: Adopt a systematic approach to coaching; Build | | trusting coaching relationship; Understand what is important to people; | | identify strengths and development needs: Be a strong role model for | | development; create coaching and “Gap” plans; provide development | | assignments and goals; Effectively and efficiently discuss relevant | | feedback; reinforce a learning environment; and Increase people’s skills | | and business results. | | | | PROMOTE COLLABORATION AND TEAMWORK: Demonstrates ability to align with | | the business objectives, enlist the commitment of stakeholders, and | | focus self and others on producing desired results | | | | BUILD REALISTIC PLANS: Understand your organization’s strategic vision | | and tactical goals; Involve others in planning and identify and obtain | | resources needed to accomplish team or work group objectives: Identify | | action steps needed to accomplish team or work group goals; Establish | | clear realistic timelines for accomplishing goals; Identify risk and | | assumptions in plans, anticipate problems, and plan for contingencies. | | | | ENGAGE AND INSPIRE: Encourages and enables others to achieve; creates a | | spirit of ownership, commitment and enthusiasm for the company, unit and | | work group, and the task at hand. | +--------------------------------------------------------------------------+