Healthcare Intake & Authorization Specialist

WPS Health Solutions; Des Moines (IA); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Hybrid and remote work options

Performance bonus opportunities

401(k) with match

Job summary

WPS Health Solutions seeks an Intake Specialist to manage inbound and outbound communications, ensuring accurate intake, documentation, and routing of cases. The role supports prior authorizations, claims processing, and triage within compliant, high-quality customer service standards.

The position offers hybrid work near Des Moines, IA, with remote work options in approved states. Candidates will document interactions, draft letters, and coordinate with clinical staff to maintain efficient

Qualifications

• Minimum 2 years in healthcare/insurance/medical office environments
• Strong verbal and written communication; document calls and explain authorization/denial statuses
• Ability to multitask in high-volume workflows and maintain accuracy

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 in system(s) within required timeframes
• Triage and assign cases to clinical staff per guidelines
• Index and manage clinical documentation in authorization platforms
• Process claims and support appeals and authorization workflows
• Draft and issue approval/denial letters within defined timelines
• Respond to voicemails and ensure timely follow-up with providers/customers
• Coordinate with cross-functional teams and monitor audit findings

Skills

Verbal communication

Written communication

Multitasking

Attention to detail

Analytical thinking

PC literacy

Education

High School Diploma or GED

Tools

Documentation systems

Job description

WPS Health Solutions seeks an Intake Specialist to manage inbound and outbound communications, ensuring accurate intake, documentation, and routing of cases. The role supports prior authorizations, claims processing, and triage within compliant, high-quality customer service standards.

The position offers hybrid work near Des Moines, IA, with remote work options in approved states. Candidates will document interactions, draft letters, and coordinate with clinical staff to maintain efficient