Highmark · 20 hours ago
Intake Coordinator
Buffalo, NY
Full-time
Onsite
Entry Level
$19.27/hr - $27.42/hr
1+ years expHighmark Inc. is a healthcare company that focuses on providing efficient utilization management services. The Intake Coordinator will be responsible for capturing inbound inquiries for utilization management review, assessing requests, conducting necessary research, and creating cases in the Utilization Management system.
Health CareHealth InsuranceInsuranceWellness
Responsibilities
Obtain requests from provider or pharmacy via fax, provider portal or service form inquiry. May obtain requests from provider or pharmacy by phone in some areas of the organization. Use multiple software systems and various resource sites to determine member plans and requirements. Gather all required documentation including verification of benefit eligibility. Build cases in the utilization management system
Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and/or pharmacist. At times, outreach to providers and/or pharmacists may be required to obtain additional information
Ensure accuracy of data entry to prevent compliance and/or downstream process issues
Other duties as assigned or requested
Qualification
Required
1 year of Customer Service experience
1 year of Healthcare Industry
Possess good written and oral telephonic communication skills
Ability to navigate through multiple systems simultaneously
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax
Ability to interact well with peers, supervisors, and customers
Problem-Solving
Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services
High School/GED
None
Company
Highmark
Highmark provides health insurance plans for individuals and businesses.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$27.3M2018-04-06Grant· $25M
2014-08-07Grant· $2.3M
Leadership Team
Deborah Rice-Johnson
CEO, Diversified Businesses at Highmark Inc. and Chief Growth Officer
Paul Sikora
CTO Provider Services
Recent News
2025-12-11
Company data provided by crunchbase