Healthcare Intake & Authorization Specialist

WPS Health Solutions; Jacksonville (FL); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote and hybrid work options

Performance bonus

401(k) with match

Paid time off

Health insurance

Dental insurance

Telehealth services

Job summary

WPS Health Solutions invites applicants for an Intake Specialist role focused on health services intake, authorization, and claims support. You will ensure accurate case intake, document interactions, and route cases to the appropriate clinical staff across the organization.

Ideal candidates bring healthcare experience, strong communication, and meticulous documentation skills, with the ability to multitask in a fast-paced environment while maintaining data privacy and compliance standards.

Qualifications

• 2+ years experience in healthcare, insurance, or medical office environments.
• Experience communicating with providers and patients.
• Strong written and verbal communication; accurate documentation of calls.

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 systems within required timeframes.
• Triage and assign cases to clinical staff based on 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; ensure timely follow-up with providers and customers.
• Research and resolve inquiries, including risk tasks and service tickets.
• Coordinate with cross-functional teams and communicate case updates.

Skills

Healthcare experience

Provider communication

Medical terminology

Documentation skills

Multitasking

Analytical thinking

PC proficiency

Education

High School Diploma or GED

Tools

MS Office

Job description

WPS Health Solutions invites applicants for an Intake Specialist role focused on health services intake, authorization, and claims support. You will ensure accurate case intake, document interactions, and route cases to the appropriate clinical staff across the organization.

Ideal candidates bring healthcare experience, strong communication, and meticulous documentation skills, with the ability to multitask in a fast-paced environment while maintaining data privacy and compliance standards.