Coordinator III - Inbound Queue Associate

The Inbound Queue Associate takes phone calls and faxes from providers (clinics, hospitals, and doctors), requesting prior authorization approval that is required for medical procedures prior to their initiation. As part of our non-clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our providers.

In this role, you will:
-Take inbound calls from providers in a call center environment.
-Perform data entry fax requests received from an inbound fax queue.
-Perform quality check authorizations submitted through a web portal.
-Assist callers from hospitals, clinics, facilities, and other health care providers to create and manage requests for medical services.
-Follow processes and guidelines to determine approved services that do not require a medical review, in accordance with the benefit plan.
-Complete special projects in accordance with business needs (i.e. return mail, member surveys, sorting, etc.).
-Promote and support quality effectiveness of healthcare services.
-Approve services that do not require a medical review in accordance with the benefit plan.
-Perform non-medical research, including eligibility verification and COB (Coordination of Benefits).
-Protect the confidentiality of member information while adhering to company policies regarding confidentiality.
-Use work-appropriate systems
-Perform sedentary work involving significant periods of sitting, talking, hearing, and keying.
-Maintain visual acuity, in order to perform close inspection of written and computer-generated documents.

Position Details
Work Location: Fully Remote
Schedule: MondayFriday, 8:00 AM5:00 PM (Client time)
Safety Sensitive: Yes


Top 3 Requirements
- 1+ year highvolume healthcare call center experience. Must be comfortable handling heavy inbound provider call traffic.
- Strong data entry and systemnavigation skills. Ability to process faxes, portal submissions, and prior authorization requests accurately.
- Ability to work Arizona hours. Regardless of home time zone.



***Required Questionnaire (Attach at Top of Resume)***
1. Are you able to work Client hours?
2. How many years of highvolume healthcare call center experience do you have? Include a brief (12 sentence) description of your responsibilities.
3. How many years of data entry or administrative processing experience do you have? Typing speed (if known): ______ WPM
4. Have you assisted with prior authorization requests or provider inquiries before?
5. Which software systems are you proficient in?
6. How comfortable are you handling calls while entering data simultaneously?
7. Attach a screenshot of your internet speed test.
8. Confirm you have a private, interruptionfree home workspace.


Hiring Timeline:
Interview Period: March 16 March 27
All Offers Out and Accepted By: April 1
Candidates Fully Cleared By: April 17
Targeted Start Date for Hires: May 4

Position Summary:

The Inbound Queue Associate takes phone calls and faxes from providers (clinics, hospitals, and doctors), requesting prior authorization approval that is required for medical procedures prior to their initiation. As part of our non-clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our providers.

In this role, you will:
-Take inbound calls from providers in a call center environment.
-Perform data entry fax requests received from an inbound fax queue.
-Perform quality check authorizations submitted through a web portal.
-Assist callers from hospitals, clinics, facilities, and other health care providers to create and manage requests for medical services.
-Follow processes and guidelines to determine approved services that do not require a medical review, in accordance with the benefit plan.
-Complete special projects in accordance with business needs (i.e. return mail, member surveys, sorting, etc.).
-Promote and support quality effectiveness of healthcare services.
-Approve services that do not require a medical review in accordance with the benefit plan.
-Perform non-medical research, including eligibility verification and COB (Coordination of Benefits).
-Protect the confidentiality of member information while adhering to company policies regarding confidentiality.
-Use work-appropriate systems
-Perform sedentary work involving significant periods of sitting, talking, hearing, and keying.
-Maintain visual acuity, in order to perform close inspection of written and computer-generated documents.

Duties:

The Inbound Queue Associate takes phone calls and faxes from providers (clinics, hospitals, and doctors), requesting prior authorization approval that is required for medical procedures prior to their initiation. As part of our non-clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our providers.

In this role, you will:
-Take inbound calls from providers in a call center environment.
-Perform data entry fax requests received from an inbound fax queue.
-Perform quality check authorizations submitted through a web portal.
-Assist callers from hospitals, clinics, facilities, and other health care providers to create and manage requests for medical services.
-Follow processes and guidelines to determine approved services that do not require a medical review, in accordance with the benefit plan.
-Complete special projects in accordance with business needs (i.e. return mail, member surveys, sorting, etc.).
-Promote and support quality effectiveness of healthcare services.
-Approve services that do not require a medical review in accordance with the benefit plan.
-Perform non-medical research, including eligibility verification and COB (Coordination of Benefits).
-Protect the confidentiality of member information while adhering to company policies regarding confidentiality.
-Use work-appropriate systems
-Perform sedentary work involving significant periods of sitting, talking, hearing, and keying.
-Maintain visual acuity, in order to perform close inspection of written and computer-generated documents.

Experience:

Required Qualifications
-1+ years of experience in a high-volume, health care call center environment.
-1+ years of experience in data entry.
-Must reside within a commutable distance of Phoenix, Arizona.
-Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).


Preferred Qualifications
-3 years of experience in a high-volume, health care call center environment.
-Strong customer service skills, catering each interaction individually to those being assisted.
-Strong telephonic communication.
-Strong organizational and time management skills.
-Ability to multi-task proficiently.

Education:

High school diploma or GED required