Intake Representative Lead

The Intake Representative Lead is responsible for designing, implementing, and evaluating reviews by coordinating, delegating, and supporting the Intake Representative team. This position serves as a subject matter expert for FFS reviews, as well as Long Term Care reviews for the DC Contract.

Why Comagine Health?

Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years.

We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes.

Our talented remote workforce spans the country and plays a vital role in our success. We go beyond merely providing a remote work option; we support and embrace it. We offer opportunities to make a difference from anywhere in the U.S. and enjoy better work-life balance. An annual stipend gives you the freedom to enhance your workspace with options that suit your needs.

We believe in an environment that allows you to thrive both personally and professionally. That’s why we offer benefits that include:

• Medical, dental and vision insurance
• Paid time off for vacation, illness and volunteering
• Retirement savings plan with employer contribution
• Adoption financial assistance
• Paid parental leave
• And much more!

You have:

• High school diploma or equivalent.
• Equivalent combination of education and/or work experience in related field may be substituted.
• 4 years of related work experience.
• 2 years of related work experience in healthcare.
• 4 years of direct customer service experience.

You may have:

• Post-secondary education or certification in a related field.
• Current and active RHIT, RHIA, CCA, or CCS certification.
• Experience with Medicaid.

You bring:

• Intermediate MS Office Suite proficiency.
• Full proficiency with web-based review workflows and processes.
• Demonstrated proficiency with medical terminology plus diagnosis and/or procedure coding.
• Participates in orientation and training of other Intake staff.
• Handles challenging and/or complex requests.

In this role, you will:

• Provide daily oversight and monitoring of non-clinical staff, as assigned; also provide the supervisor with input regarding employees’ performance of all treatment types.
• Provide clinical and/or review process subject matter expertise; respond to customer and provider questions or concerns.
• Assist with initial orientation and training of new staff.
• Create staff training schedules daily as indicated by the supervisor.
• Ensure timely completion of daily training and report pertinent observations of individual and team productivity and performance to the supervisor.
• Apply and assist in the development of non-clinical staff’s work process.
• Retain and organize files and records, track, and monitor due dates on action items.
• Provide follow-up and monitoring of non-clinical staff during their performance, as appropriate; also provide the supervisor with input regarding employees’ performance of these activities.
• Screen client or customer complaints and assist with follow-up and resolution.
• Respond to inbound telephone requests.
• Assist in organizing and scheduling Open Forum huddles.
• Participate in Provider Portal training.
• Identify training needs or opportunities for improvement in process or documentation and work with Supervisor and manager to update procedures and process as needed.
• Identify and report HIPAA and PHI violations in the appropriate database.
• Perform other duties as assigned.

Equal Opportunity Employer

Comagine Health is an equal opportunity employer and is committed to creating a diverse, equitable, and inclusive workplace.

Physical Requirements & Work Environment

This position is primarily remote and performed in a home-based setting, requiring reliable internet access and a workspace free from significant distractions. The role involves frequent use of computers, phones, and virtual communication tools. Employees must be able to sit for extended periods, communicate effectively.

Some positions may require operating a motor vehicle for business purposes; in such cases, employees must maintain a valid driver’s license and meet the organization’s driving eligibility requirements.

Reasonable accommodations will be provided to enable individuals with disabilities to perform essential functions.