Job Details

Customer Service

  2026-03-31     Diverse Lynx     all cities,OR  
Description:




Training: Employees must be able to work M-F 9:30 am- 6 pm ET during our 10-12 day training program followed by 1week of OJT (on the job training). Post training shifts may vary. All training will be conducted virtually from your home.
Post Training: After training, this position is full-time (40 hours/ week) with variable (varying) shifts to support our 7 am - 7pm CT, 7 days per week operations. Must be able to work on a weekend day.
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life s best work.
Under the supervision of the Network Operations Supervisor, the Intake Coordinator is responsible for the daily coordination of Network Ops processes in the Intake Call Center. This position serves as the initial intake of pre - service requests, claim reviews and inpatient hospital coordination and diabetic supplies
The Intake Coordinator is expected to maintain production and quality standards.

  • Managing authorizations / notifications and other service requests received via incoming phone calls, faxes and portal submission
  • Providing excellent customer service, including the ability to handle escalated callers
  • Determining authorization or notification requirements
  • Preparing authorization cases for Medical Directors, Network Operations Nurses and Case Managers
  • Provides clerical support to clinical staff in their medical necessity review process Handling expedited authorizations, authorization updates and status checks
  • Confirming member eligibility
  • Outreaches to providers and/or Patient to complete authorization requests and prescriptions
  • Maintaining knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
  • Utilizing experience and judgement to plan, accomplish goals and effectively resolve each assigned task
Required:
" Minimum of a High School Diploma / GED
" 1+ years of professional experience in an office or healthcare environment
" Prior customer service experience making outbound calls
" Experience working with Microsoft Office Products
  • Microsoft Outlook (ability to create, edit, save, and send
    emails)
  • Microsoft Word (ability to create, edit, save, and send documents)
  • Microsoft Excel (ability to create, edit,
    save, and send spreadsheets)



Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.


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