Healthcare Intake & Authorization Specialist

WPS—A health solutions company; Missouri; Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote/hybrid options

Bonus and merit increases

401(k) match

Paid time off

Health and dental insurance

Telehealth services

Development programs

Job summary

WPS, a health solutions company, seeks an Intake Specialist to manage inbound and outbound communications for Health Services, ensuring accurate intake, documentation and routing of cases. The role supports prior authorizations, claims processing, and writing authorization/denial letters with high accuracy and customer service standards.

The position offers a hybrid work model near Madison, WI, with remote options in approved states; competitive benefits and a focus on data privacy and security.

Qualifications

• Healthcare/insurance environment experience.
• Ability to document calls clearly and determine authorization status or denial.
• Strong written and verbal communication.
• Ability to multitask in fast-paced workflows.
• Detail-oriented with solid organizational skills.

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 per guidelines.
• Process claims and support appeals and authorization workflows.
• Draft and issue approval/denial letters within defined timelines.
• Ensure privacy and security compliance in all actions.

Skills

Healthcare experience

Communication skills

Documentation accuracy

Multitasking

Attention to detail

Education

High school diploma or GED

Job description

WPS, a health solutions company, seeks an Intake Specialist to manage inbound and outbound communications for Health Services, ensuring accurate intake, documentation and routing of cases. The role supports prior authorizations, claims processing, and writing authorization/denial letters with high accuracy and customer service standards.

The position offers a hybrid work model near Madison, WI, with remote options in approved states; competitive benefits and a focus on data privacy and security.