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Intake Coordinator

Avalon Healthcare Solutions

Avalon Healthcare Solutions

Administration
Posted on Thursday, June 27, 2024

About the Company:

Avalon Healthcare Solutions, headquartered in Tampa, Florida, 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.

Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.

Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies.

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. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.

For more information about Avalon, please visit www.avalonhcs.com.

Avalon Healthcare Solutions is proud to be an equal opportunity employer including disability/veteran. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

Avalon Healthcare Solutions provides and maintains a drug-free workplace for its employees.

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.

This position is eligible for remote work, but quarterly travel to the corporate office in Tampa, Florida may be required.

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)