Care Management Intake Specialist — Remote

Wellmark, Inc.; Iowa; Remote; USD 42,000 - 56,000; Full time

Job summary

Wellmark, Inc. is seeking a Health Services Intake Specialist to support care management in a fast-paced call center. The role focuses on eligibility and benefits verification, precertification, and documentation to support care management teams.

The position includes training for six weeks in Des Moines, IA, after which remote work options may be available based on business needs. This opportunity emphasizes member advocacy, accuracy, and collaboration with multidisciplinary teams.

Qualifications

• High School Diploma or GED.
• 1+ years of related experience including customer or provider service experience.
• Experience working in a production environment with production & quality metrics.
• Demonstrated ability to apply critical thinking to resolve issues while maintaining composure.
• Ability to prioritize work and meet deadlines.
• Strong written and verbal communication skills with the ability to communicate to varying audiences.
• Proficiency with Microsoft Office applications.
• Excellent attendance and punctuality.
• Comfortable working in a high volume, fast paced call center environment.

Responsibilities

• Verify member eligibility and benefits as well as provider participation and network status.
• Perform accurate, timely documentation of information received via phone, fax, or provider portal within JIVA.
• Support the Nurse Care Managers by creating episodes for services and admissions to be reviewed for medical necessity.
• Manage workload within regulatory turnaround time requirements and mandated timeframes for processing cases.
• Provide accurate information to members and providers by utilizing guidelines and job aides.
• Demonstrate understanding of regulatory standards, Health Services guidelines, and HIPAA requirements.
• Comply with regulatory and accreditation standards relevant to utilization management services.
• Other duties as assigned.

Skills

Customer service

Phone communication

Documentation

Microsoft Office

Time management

Education

High School Diploma or GED

Tools

JIVA

Job description

Wellmark, Inc. is seeking a Health Services Intake Specialist to support care management in a fast-paced call center. The role focuses on eligibility and benefits verification, precertification, and documentation to support care management teams.

The position includes training for six weeks in Des Moines, IA, after which remote work options may be available based on business needs. This opportunity emphasizes member advocacy, accuracy, and collaboration with multidisciplinary teams.