Intake Coordinator – REMOTE (Entry Level/Work from Home Jobs/Hiring ASAP)

Avalon Healthcare Solutions is the world’s first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings.

Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost. For more information about Avalon, please visit www.avalonhcs.com.

Avalon is a high growth company where every associate has an opportunity to make a difference. You will be part of a team that shapes a new market and business. You’ll enjoy seeing the results of your work as we rapidly implement our plan. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.

About the Intake Coordinator Position:

The Intake Coordinator processes incoming requests for prior authorization of laboratory services and provides support to the clinical team.  This position exercises discretion, sound judgment, and personal initiative to assist with the prior authorization process for laboratory services. The Intake Coordinator supports the operations of the department by applying policies and workflows, assisting providers, and obtaining proper documentation of prior authorization records and documentation to ensure a quick turnaround time with a quality outcome’

Intake Coordinator – Essential Functions and Responsibilities:

Effectively handles authorization requests and inquiry phone calls from providers, balancing excellent customer service with efficiency.
Follows appropriate procedures for checking member eligibility, authorization history, and provider network participation status.
Based on the information provided by the healthcare provider, determines the appropriate handling of each prior authorization request.

Accurately enters authorization requests into Avalon’s laboratory benefit management system.
Communicates authorization determinations to providers either verbally on the phone or through written fax communication.
Interprets a variety of instructions furnished in written and oral forms.
Assists in preparing and submitting letters, reports, or assignments as needed to meet department initiatives and/or objectives.
Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, and helpfulness.

Intake Coordinator – Minimum Qualifications:

Ability to interpret documents.
Excellent communication skills
Ability to navigate and master proprietary software programs and be proficient in MS Office programs.
Effective data entry and word processing skills.
Must have a customer service focus.
Willing and able to work a flexible schedule to cover the hours of 8:00am to 8:00pm.
Understanding of HIPAA and PHI (preferred)
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