Intake Specialist

Our client, a nationally recognized and award-winning company in the health insurance vertical, has a contract opening for a Intake Specialist.

They have over 4 million customers and 5,000 employees dedicated to providing innovative solutions that simplify the healthcare system, improve efficiency and outcomes while reducing costs.

Location : While the position is Remote, work from home, you must reside in North Carolina or 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.

Contract Duration : 6 Months

Required Skills & Experience

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

What You Will Be Doing

• 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)

To be eligible to contract at this client you must be able to pass a drug test and criminal background check