Intake Specialist I

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for four years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: www.accesshma.com

How YOU will make a Difference:

As an Intake Specialist you will have the opportunity to further advance in your career as an integral part of our medical management model. We are looking for an experienced, collaborative, team-oriented visionary who would enjoy playing an essential role in daily processes of authorizations and growth of our Utilization Management processes.

What YOU will do:

Manage and document inquiries for prior authorizations Verify eligibility and plan requirements Appropriately triage the labeling and distribution of incoming and outgoing department faxes Collaborate with nurses for case processing Adhere to Department of Labor guidelines in response to prior authorization inquires, approvals and denials Adhere Health Insurance Portability and Accountability Act in response to prior authorization inquires, approvals and denials Assist members in understanding their authorization, denials and appeal rights

Knowledge, Experience, and Key Attributes needed for Success:

High school diploma or equivalent 1-3 years of Intake experience Foundational knowledge of the care management function, plan requirements, and eligible services Familiarity with medical terminology through course work and certification or previous on the job experience Excellent communication skills both in writing and verbal Previous experience working in a medical or healthcare field is preferred Service Oriented: Provides positive, supportive, and informational assistance Highly Organized/Attention to Detail: Data entry accuracy and attention to detail and follow-up Troubleshooting: Ability to identify issues and effectively route the request The base salary range for this position in the greater Seattle area is $23.55/hr - $27.88/hr for a level I and varies dependent on geography, skills, experience, education, and other job or market-related factors. While we are looking for level I, we may consider level II for highly qualified candidates. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.

In addition, HMA provides a generous total rewards package for full-time employees that includes:

Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA’s standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: www.accesshma.com