Associate, Triage Intake - MVP Health Care : Job Details

At MVP Health Care, we are dedicated to fostering a healthier future for everyone, driven by innovative thinking and continuous improvement. We are excited to welcome a new Associate, Triage Intake to our #TeamMVP. This is a fantastic opportunity for you if you are passionate about providing quality care, maintaining clinical integrity, and promoting collaboration.

What we offer you:

• Career growth opportunities to elevate your professional journey
• A supportive culture that values and celebrates diverse perspectives and backgrounds
• Competitive salary and a comprehensive benefits package focused on your well-being
• The chance to shape the future of health care with a team recognized as one of the Best Places to Work for in the NY Capital District, and among the Best Companies to Work For in New York, as well as an Inclusive Workplace.

Your qualifications:

• High School Diploma or equivalent
• At least 2 years of experience in healthcare, especially in appeals, claims, or case management
• Excellent organizational and time management skills
• Proficiency in Microsoft Office and case tracking systems
• Knowledge of Medicaid, Medicare, or Commercial health plan regulations
• Familiarity with medical terminology and clinical documentation
• A knack for innovation and a commitment to team collaboration
• A strong dedication to making a positive difference for our customers in every interaction

Your key responsibilities:

• Receive, review and log all incoming member and provider complaints and appeals (both standard and expedited)
• Conduct initial case screening for completeness and timeliness
• Assign cases to the appropriate clinical and non-clinical staff based on type and urgency
• Monitor and manage system queues to ensure compliance with regulatory timeframes
• Perform additional responsibilities as needed by leadership
• Contribute to our pursuit of excellence by engaging in responsibilities that reflect our collective goal of enhancing healthcare delivery.

Where you will work:

Virtual in New York State.

Compensation Transparency: MVP Health Care is committed to offering competitive employee compensation and benefits. The base pay range for this position reflects our honest estimate at the time of posting. We uphold pay transparency principles. Specific job offers and compensation will be determined individually based on various factors, including but not limited to location, experience, education, and demand for the role.

Inclusion at MVP: At MVP Health Care, we believe that creating healthy communities starts with a healthy workplace. We aim to create an environment for individuals from diverse backgrounds to voice their thoughts and thrive. Our collective curiosity and connectedness strengthen us, and our unique perspectives drive creativity and collaboration.

MVP is an equal opportunity employer, recruiting, employing, training, compensating, and promoting without discrimination based on race, color, creed, national origin, or any other legally protected classifications.

Please note that as part of our commitment to a safe and drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team.