Part-Time Non-Clinical Intake Coordinator III - Weekend & Holiday Shifts - Hybrid Remote in Bakersfield, CA

Join Our Team as a Non-Clinical Intake Coordinator III

At Workwarp, we're committed to delivering exceptional healthcare services that make a real difference in people's lives. As a leading player in the healthcare industry, we're dedicated to fostering a culture of compassion, innovation, and excellence. We're now seeking a highly skilled and experienced Non-Clinical Intake Coordinator III to join our team on a part-time basis, working weekend and holiday shifts in a hybrid remote setting based in Bakersfield, CA.

About the Role

As a Non-Clinical Intake Coordinator III, you will play a vital role in supporting our Clinical Intake staff in processing Health Plan referrals for medical services, durable medical equipment, and specialty care. Your expertise and administrative skills will ensure the accuracy and timeliness of our authorization process, while providing a crucial link between providers, members, and our team.

Key Responsibilities

• Screen calls from providers and members regarding the Utilization Management (UM) process, responding to inquiries and resolving issues in a professional and courteous manner.
• Obtain referral information from providers and members to facilitate the authorization process, ensuring all necessary details are captured and documented.
• Act as a liaison between members, community providers, and employees, providing clear and concise information and support as needed.
• Review specified referral types using established criteria to determine preauthorization requirements, routing requests to Clinical Intake Coordinators for approval or auto-authorizations as necessary.
• Obtain additional medical information for clinical staff to prepare authorizations for review by Clinical Intake Coordinators.
• Provide benefits interpretation, including coordination of care for medically necessary services that are not covered, to ensure members receive the support they need.
• Monitor, track, and process provider service appeals, ensuring timely and effective resolution.
• Serve as a resource to Non-Clinical Intake Coordinator Level I and Level II staff, providing guidance and support to enhance team performance.
• Review member history and eligibility, as well as previous referral authorizations, to inform decision-making and ensure continuity of care.

Essential Qualifications

To succeed in this role, you will need:

• A current Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) certification, with a strong understanding of healthcare operations and medical terminology.
• Previous experience in a healthcare setting, preferably in a Utilization Management or related role.
• Excellent communication and interpersonal skills, with the ability to interact effectively with providers, members, and internal stakeholders.
• Strong analytical and problem-solving skills, with the ability to interpret complex information and make informed decisions.
• Proficiency in electronic health records (EHRs) and other healthcare software applications.
• Ability to work independently and as part of a team, with a strong commitment to collaboration and teamwork.

Preferred Qualifications

While not essential, the following qualifications will be highly regarded:

• Previous experience in a hybrid or remote work environment, with a proven track record of productivity and effectiveness.
• Knowledge of healthcare regulations and compliance requirements, including HIPAA and other relevant laws.
• Experience with UM software and other healthcare technology platforms.
• Bilingual or multilingual skills, with the ability to communicate effectively with diverse populations.

What We Offer

As a valued member of our team, you will enjoy:

• A competitive hourly rate of $20-$22 per hour, depending on experience.
• A part-time schedule with weekend and holiday shifts, providing a great work-life balance.
• A hybrid remote work arrangement based in Bakersfield, CA, offering flexibility and autonomy.
• Ongoing training and development opportunities to enhance your skills and advance your career.
• A collaborative and supportive work environment that prioritizes your well-being and success.

Career Growth and Development

At Workwarp, we're committed to helping our team members grow and develop in their careers. As a Non-Clinical Intake Coordinator III, you will have opportunities to:

• Develop your skills and expertise in healthcare operations and Utilization Management.
• Take on additional responsibilities and contribute to special projects and initiatives.
• Pursue advanced certifications and training to enhance your career prospects.
• Collaborate with cross-functional teams to drive innovation and improvement.

Our Culture and Values

At Workwarp, we pride ourselves on a culture that is:

• Compassionate: We care deeply about our members and our community, and we're committed to making a positive impact.
• Innovative: We're always looking for new and better ways to deliver healthcare services, and we're not afraid to try new things.
• Collaborative: We believe in the power of teamwork and collaboration, and we're dedicated to fostering a culture of mutual respect and support.
• Excellence-driven: We're committed to delivering exceptional results and exceeding expectations, every time.

Ready to Join Our Team?

If you're a motivated and experienced healthcare professional looking for a new challenge, we want to hear from you! As a Non-Clinical Intake Coordinator III, you will play a critical role in our organization, and we'll provide you with the support and resources you need to succeed. Apply now to join our team and start making a difference in the lives of our members.

To learn more about our company and our mission, please visit https://cazadorconsultinggroup.com/. We look forward to welcoming you to our team!