Valenz

Compensation

Full Description

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About Our Opportunity As a Bilingual Intake Coordinator, you will receive inbound calls, faxes, and web requests from providers and/or clients. You will initiate and facilitate the authorization process in accordance with established health plan policies and procedures. Things You’ll Do Here: Document demographic information obtained from telephonic, fax, or emailed requests within the care management system. Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review. Screen inquiries to determine the services that require certification at the time of the inquiry Obtain clinical information and forward the caller to the clinical staff for completion of the review. Provide certification based upon scripted clinical algorithms or benchmark Length of Stay. Collaborate and effectively communicate with internal and external partners. Stay up to date on Summary Plan Documents and other related resources related to service requests. Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met. Performs other related duties as assigned by supervisor. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: 2+ years of experience in high-volume call center or customer support environment. High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members. Strong problem solving skills. Excellent communication skills, both verbal and written. GED or High School Diploma. Fluent in reading, writing, and speaking Spanish and English. A plus if you have: Medical, claims, or collection call center experience. Medical Terminology Certification. Microsoft Office Suite experience. Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! Technology: Reliable internet connection—if you can use streaming services, you’re good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You’ll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.