Health Services Intake Specialist — Hybrid/Remote

WPS Health Solutions; Detroit (MI); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote and hybrid options

Bonus opportunities

401(k) match

Paid time off

Health insurance

Job summary

WPS Health Solutions in Madison, Wisconsin, invites an Intake Specialist to manage inbound/outbound communications, document interactions, and route cases for prior authorizations and claims. You will triage tasks, draft authorization letters, and support appeals while upholding accuracy and compliance.

The role requires healthcare experience, strong written and verbal communication, and the ability to multitask in a fast-paced environment.

Qualifications

• High School Diploma or GED or equivalent experience.
• 2+ years in healthcare/insurance/medical office environment including provider/patient contact.
• Working knowledge of medical terminology.
• Strong verbal and written communication; ability to document calls and explain authorization/denial status.
• Multitask and manage high-volume, fast-paced workflows.
• Detail-oriented with strong organizational skills.
• Analytical thinking and problem-solving capability.
• Proficient use of PC with standard software.

Responsibilities

• Serve as first point of contact for inbound/outbound calls and route inquiries.
• Initiate prior authorization cases by collecting demographics and verifying eligibility.
• Document all interactions accurately in required systems within timeframes.
• Triage and assign cases to clinical staff per guidelines.
• Index and manage clinical documentation within authorization platforms.
• Process claims and support appeals and authorization workflows.
• Draft and issue approval/denial letters within defined timelines.
• Retrieve and respond to voicemails and ensure timely follow-up with providers and customers.

Skills

Communication skills

Medical terminology

Multitasking

Education

High School Diploma or GED

Job description

WPS Health Solutions in Madison, Wisconsin, invites an Intake Specialist to manage inbound/outbound communications, document interactions, and route cases for prior authorizations and claims. You will triage tasks, draft authorization letters, and support appeals while upholding accuracy and compliance.

The role requires healthcare experience, strong written and verbal communication, and the ability to multitask in a fast-paced environment.