Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

• Work-life balance - This is a remote role!
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs and MORE!

Who you are:

As a Utilization Management Intake Coordinator for Johns Hopkins Health Plans, you are the first point of contact in the Utilization Management referral/authorization process. You like following contract guidelines, you appreciate rules, and understand their importance when it comes to the referral and/or authorization process. And even though you aren’t on the phone (this is not a customer facing role), you appreciate how your work affects our member’s lives.

What you’ll do:

• Receive (via fax) and process referrals and authorizations
• Coordinate and manage the referral and/or authorization process for all insurance lines, in accordance with benefit contract guidelines and criteria
• Assist in resolving claims related issues
• Assist with internal and external mail, and other administrative duties as assigned.

What you’ll bring:

• 1+ years’ experience in an intake support and/or customer service role in managed care
• Knowledge of the referral and authorization process as well as the daily activities of an intake unit.
• Ability to learn new systems quickly.
• Basic Knowledge of ICD-10 diagnosis and CPT coding.
• Requires knowledge of behavioral health and medical terminology.
• High school diploma or GED is required.

Who we are:

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.