Healthcare Intake & Authorization Specialist

WPS Health Solutions; Charlotte (NC); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote/hybrid options

Performance bonus opportunities

401(k) with match

Job summary

WPS Health Solutions seeks an Intake Specialist to manage inbound and outbound communications, gather information, and route inquiries within Health Services. You will support prior authorizations, claims processing, and case setup while upholding accuracy and compliance.

This hybrid role within 45 miles of the Madison, WI HQ allows two in-office days per week and remote work in select states. You will document interactions, triage cases, and draft authorization letters to ensure timely,

Qualifications

• Two (2) or more years of experience in healthcare, insurance, or medical office environments; including one or more years communicating with providers and patients.
• Strong verbal and written communication skills with ability to document calls and explain requirements clearly.
• Proficient use of PC with knowledge of standard software programs.

Responsibilities

• Serve as first point of contact for inbound/outbound calls; gather information and route inquiries appropriately.
• Initiate prior authorization cases by collecting demographics and verifying eligibility.
• Accurately document all interactions in systems within required timeframes.

Skills

Healthcare experience

Strong communication skills

Medical terminology

PC proficiency

Education

High School Diploma or GED

Job description

WPS Health Solutions seeks an Intake Specialist to manage inbound and outbound communications, gather information, and route inquiries within Health Services. You will support prior authorizations, claims processing, and case setup while upholding accuracy and compliance.

This hybrid role within 45 miles of the Madison, WI HQ allows two in-office days per week and remote work in select states. You will document interactions, triage cases, and draft authorization letters to ensure timely,