Contract Healthcare Intake Specialist - Onsite Durham

Pyramid Consulting, Inc; Durham (NC); On-site; USD 22,000 - 30,000; Full time

Job summary

Pyramid Consulting, Inc. has an immediate opening for an Intake Specialist in Durham, NC on an onsite basis. This 06+ months contract position offers benefits and the potential for long-term growth within the healthcare services sector.

The ideal candidate will have a high school diploma or GED and 3+ years of related field experience, with knowledge of health insurance and pharmacy. Daily duties include processing requests by phone/email, documenting information, and coordinating with internal

Qualifications

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

Responsibilities

• 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, attaching supporting information as applicable, and route to the appropriate area for follow-up if unable to resolve.
• 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).

Education

High school diploma or GED

Job description

Pyramid Consulting, Inc. has an immediate opening for an Intake Specialist in Durham, NC on an onsite basis. This 06+ months contract position offers benefits and the potential for long-term growth within the healthcare services sector.

The ideal candidate will have a high school diploma or GED and 3+ years of related field experience, with knowledge of health insurance and pharmacy. Daily duties include processing requests by phone/email, documenting information, and coordinating with internal