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Intake Specialist

Salary undisclosed

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Our client, a major healthcare provider, is looking for an Intake Specialist to join their team! This is a fully remote position, however candidates must reside in one of the following states:

  • Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming.

**This begins as a 6 month contract with an opportunity to extend**

Required Skills:

  • High school diploma or GED
  • 3+ years of experience in related field.

Description/Comment:

• Process a variety of requests, inquiries and transactions via phone, email, fax, and mail

• Review requests to ensure accuracy

• Support internal & external customers via phone or email

• Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up as applicable

• Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process

• Screen inquiries to determine if authorization is required

• Verify member benefits and eligibility and/or provider setup.

• Maintain and update Service Requests and research incorrect or missing information.

• Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff

• Perform Peer Audits monthly as required

• Provide clinical review outcome notification to members and providers (verbal and written)