Healthcare Intake & Authorization Specialist

WPS—A health solutions company; Minnesota; Hybrid; USD 23.000 - 32.000; Vollzeit

Benefits dieser Stelle

Remote and hybrid work options

Performance bonus and merit increases

401(k) with match

Competitive PTO

Health, dental, telehealth

Professional development

Careers site benefits

Zusammenfassung

WPS Health Solutions in the United States is seeking an Intake Specialist to manage inbound/outbound calls, gather demographics, verify eligibility, and document interactions accurately. You will support prior authorizations, claims processing, and letter writing within defined timelines in a hybrid work model.

This role requires healthcare experience, strong communication, and the ability to manage high-volume workflows while maintaining data privacy and security standards.

Qualifikationen

• High School Diploma or GED or equivalent experience.
• Two or more years in healthcare, insurance, or medical office; including communication with providers/patients.
• Working knowledge of medical terminology.
• Strong verbal and written communication, able to document calls and explain authorization/denial status.
• Ability to multitask in a high-volume, fast-paced environment.
• Detail-oriented with strong organizational skills.
• Analytical thinking and problem-solving capability.
• Proficient with PC and standard software.

Aufgaben

• Serve as first point of contact for inbound/outbound calls and route inquiries.
• Initiate prior authorization cases by collecting demographics and eligibility.
• Document all interactions in system within required timeframes.
• Triage and assign cases to appropriate 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 for quality/compliance.

Kenntnisse

Healthcare experience

Communication skills

Medical terminology

Multitasking

Detail oriented

Analytical thinking

PC proficiency

Ausbildung

High school diploma or GED

Jobbeschreibung

WPS Health Solutions in the United States is seeking an Intake Specialist to manage inbound/outbound calls, gather demographics, verify eligibility, and document interactions accurately. You will support prior authorizations, claims processing, and letter writing within defined timelines in a hybrid work model.

This role requires healthcare experience, strong communication, and the ability to manage high-volume workflows while maintaining data privacy and security standards.