Kern Family Health Care
Non-Clinical Intake Coordinator III Certified - Temporary
Kern Family Health Care, Bakersfield, California, United States, 93399
Non-Clinical Intake Coordinator III Certified - Temporary
Kern Family Health Care is seeking a full‑time temporary Non‑Clinical Intake Coordinator III Certified to support the KHS Utilization Management process.
Kern Family Health Care provided pay range This range is provided by Kern Family Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $26.00/hr – $26.00/hr
Full‑time temporary position. If selected, onboarding will be completed through a staffing agency.
About us Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.
Essential Duties and Responsibilities
Screen calls from KHS providers and KHS members regarding the KHS UM process.
Obtain referral information from providers and members to implement and facilitate the authorization process.
Act as liaison to KHS members, community providers, and employees to the UM clinical staff.
Assign diagnostic and procedural codes using ICD10 and CPT coding classification system for service requests. Request input from the Clinical Intake Staff when needing direction or clinical expertise.
Review specified referral types using established criteria for pre‑authorization of payment, when indicated routes requests to Clinical Intake Coordinators for approval or auto‑authorizations.
Interpret benefits to coordinate care for medically necessary services not covered under the KHS Plan (e.g., CCS, and State Waiver Programs).
Obtain additional medical information for clinical staff for preparation of authorizations for Clinical Intake Coordinator review.
Coordinate Health Plan services between KHS UM Department and KHS Member Services and Provider Relations.
Review member history and eligibility and previous referral authorizations.
Monitor, track, and process provider service appeals.
Ensure accurate data entry of authorizations in the QNXT system.
Act as a resource to Non‑Clinical Intake Coordinator Level I and Level II staff.
Adhere to KHS’s Code of Ethics and Business Conduct and all company policies, e.g., confidentiality, attendance, safety/security, use of equipment and technology, appearance and demeanor.
Perform other job‑related duties as assigned.
Adhere to all company policies and procedures relative to employment and job responsibilities.
Employment Standards Education and experience
High School Diploma from an accredited school or equivalent.
Medical Assistant associate’s degree/diploma or Medical Assistant Certificate or Certified Nurse Assistant (CNA) required.
Minimum of two (2) years of experience in a managed care setting.
Data entry and computer experience of at least two years.
Proficient in ICD-9, ICD-10, and CPT coding procedures.
Experience with medical terminology.
Certifications
Typing certificate for 30 words per minute.
Seniority level
Not Applicable
Employment type
Full‑time
Job function
Other
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Kern Family Health Care provided pay range This range is provided by Kern Family Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $26.00/hr – $26.00/hr
Full‑time temporary position. If selected, onboarding will be completed through a staffing agency.
About us Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.
Essential Duties and Responsibilities
Screen calls from KHS providers and KHS members regarding the KHS UM process.
Obtain referral information from providers and members to implement and facilitate the authorization process.
Act as liaison to KHS members, community providers, and employees to the UM clinical staff.
Assign diagnostic and procedural codes using ICD10 and CPT coding classification system for service requests. Request input from the Clinical Intake Staff when needing direction or clinical expertise.
Review specified referral types using established criteria for pre‑authorization of payment, when indicated routes requests to Clinical Intake Coordinators for approval or auto‑authorizations.
Interpret benefits to coordinate care for medically necessary services not covered under the KHS Plan (e.g., CCS, and State Waiver Programs).
Obtain additional medical information for clinical staff for preparation of authorizations for Clinical Intake Coordinator review.
Coordinate Health Plan services between KHS UM Department and KHS Member Services and Provider Relations.
Review member history and eligibility and previous referral authorizations.
Monitor, track, and process provider service appeals.
Ensure accurate data entry of authorizations in the QNXT system.
Act as a resource to Non‑Clinical Intake Coordinator Level I and Level II staff.
Adhere to KHS’s Code of Ethics and Business Conduct and all company policies, e.g., confidentiality, attendance, safety/security, use of equipment and technology, appearance and demeanor.
Perform other job‑related duties as assigned.
Adhere to all company policies and procedures relative to employment and job responsibilities.
Employment Standards Education and experience
High School Diploma from an accredited school or equivalent.
Medical Assistant associate’s degree/diploma or Medical Assistant Certificate or Certified Nurse Assistant (CNA) required.
Minimum of two (2) years of experience in a managed care setting.
Data entry and computer experience of at least two years.
Proficient in ICD-9, ICD-10, and CPT coding procedures.
Experience with medical terminology.
Certifications
Typing certificate for 30 words per minute.
Seniority level
Not Applicable
Employment type
Full‑time
Job function
Other
Industries
Hospitals and Health Care
#J-18808-Ljbffr