What you will be doing:

First point of contact for network providers, physicians, and members. Responsible for processing incoming prior-authorization requests via phone, fax and web while ensuring that both internal and external customers receive a level of service that exceeds their expectations. Intake Specialist will utilize two methods of communication (inbound and outbound) calls and written correspondence. Must respond to and resolve questions and problems from network providers, imaging centers/facilities, members, and referring providers. Intake Specialist also receives inbound calls on follow-up to existing authorization request either in process or processed.

Key Responsibilities

• Receive/process authorization request intake via phone, fax and/or web

• Collect and transfers non-clinical data

• Acquire structured clinical data

• Review authorization request for completeness of information

• Verify eligibility

• Verify physician and rendering facility participation

• Initiate an online authorization based on information received

• Submit cases for second level review if medical necessity cannot be established

• Provide customer service to callers following-up on existing authorization request either in process or processed

• Perform functions according to client program design

• Perform other duties/functions as director from Supervisor

​Required Qualifications

Work Experience:

Years of Applicable Experience – 0 or more years

Education:

High School Diploma or GED (Required)

Preferred Qualifications

Skills:

• Data Entry

• Customer service

• Detail oriented

• Strong written and verbal skill

Experience:

• 1 year of applicable experience (e.g. prior experience in medical, healthcare, and/or contact center setting)

Education:

• High School Diploma or GED

Additional Job Requirements:

• Remain in a stationary position for prolonged periods of time 

• Be adaptive and change priorities quickly; meet deadlines 

• Attention to detail 

• Operate computer programs and software 

• Ability to communicate effectively with audiences in person and in electronic formats.   

• Day-to-day contact with others (co-workers and/or the public) 

• Making independent decisions 

• Ability to work in a collaborative business environment in close quarters with peers and varying interruptions 

Working Conditions: Remote

Travel Requirements: No travel required

Physical Demands: Sedentary: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met.

Premier’s compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier’s internal salary range for this role is $42,000 – $63,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges.

Employees also receive access to the following benefits:

·       Health, dental, vision, life and disability insurance

·       401k retirement program

·       Paid time off

·       Participation in Premier’s employee incentive plans

·       Tuition reimbursement and professional development opportunities

Premier at a glance:

• Ranked #1 on Charlotte’s Healthiest Employers list for 2019, 2020, 2022, and 2023 and 21st Healthiest Employer in America (2023)

• ​Named one of the World’s Most Ethical Companies® by Ethisphere® Institute for the 16th year in a row

• Modern Healthcare Best in Business Awards: Consultant – Healthcare Management (2024)

• The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting

For a listing of all of our awards, please visit the Awards and Recognition section on our company website.

Employees receive:

• Perks and discounts

• Access to on-site and online exercise classes

Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people. 

Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply.  EEO / AA / Disabled / Protected Veteran Employer.

Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at 704.816.5200.

Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier’s Privacy Policy.

Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Behavioral Health Call Center Specialist to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.

Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities.

Why Choose Fast Pace Health?

The Behavioral Health Call Specialist reports to Director of Behavioral Health and is a member of the Behavioral Health team. The Behavioral Health Call Specialist position involves consistent, quality customer service to both internal staff members and external patients. The call specialist will actively manage each call by taking ownership of it to enhance the customer experience and build relationships. He or she will listen to the patients’ request and take appropriate action to respond to it, including; but not limited to the scheduling of intake and follow-up appointments, assisting with online check-in, assisting patients with use of technology to see providers, documenting patient encounters, compiling referral information and numbers for reporting, communicating with providers about patient or medication concerns, communicating with the pharmacy to verify prescriptions or to call in refills, make reminder calls, and provide information to clinics who are referring to behavioral health services. In managing these requests, the Behavioral Health Call Specialist will exemplify the highest level of customer service with a focus on efficiency and quality. The Behavioral Health Call Specialist will consistently demonstrate proficient data entry skills and knowledge of insurance billing while maintaining confidentiality. It is essential that they demonstrate efforts to maintain and improve job-specific competencies, and perform other duties as assigned. It is essential that they demonstrate efforts to maintain and improve job-specific competencies, and perform other duties as assigned.

Responsibilities

Essential Functions:

• Promote the five principles of Fast Pace: Communication, Teamwork, Empowerment, Quality of Care, and Friendliness
• Answers and Coordinates phone calls
• Triage
• Appropriately Recording Telephone encounters via EHR system
• Obtain Medical release as needed for patient requested forms
• Schedule and confirm appointments for patients
• Verify insurances
• Collect co-pays or fees for service
• Completing Prior Authorization and Override forms for medication approval if nurse is unavailable or assistance needed
• Complete knowledge of EHR including updating pharmacy information for patients
• Faxing info from EHR
• Obtain and Scan required documents into EHR
• Complete knowledge of registering patients
• Update patient information
• Respond appropriately to agitated or disgruntled patients
• Review schedules daily to ensure accuracy and fill appointment opportunities
• Review schedules to ensure accuracy and fill appointment opportunities
• Learn the aspects of compliance in the company by completing all mandatory compliance training.
• The ability to maintain friendly, cordial relations with all employees.
• The ability to build and maintain friendly, cordial relations with patients.
• The ability to build and maintain friendly, cordial relations with pharmacies, referral sources and members of the professional community.
• The ability to maintain a positive work atmosphere by acting and communicating in a manner that result in a positive work relationship with patients, co-workers, and managers.
• The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
• Ability to comply with Company standards of operations.
• The ability to promote and maintain a respectful culture of employee, employer and business confidentiality.

Experience Requirements and Preferences

Education: High School Diploma or GED

AND 

Experience:              

• Healthcare experience in Medical or Behavioral Health
• At least 2 years of experience in call center, front desk, or as clinic coordinator in an outpatient setting
• Experience in behavioral health setting preferred
• Electronic appointment scheduling experience preferred
• Strong customer service experience
• Excellent Verbal communication skills
• Proven ability to Multi-Task
• Problem Solving and critical thinking skills a plus

Current License or Certification: CNA licensed preferred

Education Requirements

High School Diploma or Its Equivalent
Compliance

Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct.
Please refer to the links below for information regarding your rights under certain federal laws:
https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf
https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf
Mississippi Residents Only:
In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5).

Applicants are limited to individuals from states, excluding the following:  California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.