Healthcare Intake & Authorization Specialist (Hybrid/Remote)

WPS Health Solutions; Atlanta (GA); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote and hybrid work options

Performance bonus and/or merit Increse

401(k) with 100% match for first 3% of

3% salary and 50% for next 2% of your"

Paid time off

Health insurance, dental, and teleheat

Professional and Leadership Developm.

Job summary

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications, document and route cases, and support prior authorizations and claims processing. The role emphasizes accuracy, compliance, and exceptional customer service.

The position offers hybrid work (2 days/week near Madison, WI) and remote work in approved states. Candidates should possess healthcare experience and strong communication skills to document interactions and coordinate with clinical staff.

Qualifications

• High School Diploma or GED or equivalent experience.
• 2+ years in healthcare, insurance, or medical office environment.
• Experience communicating with providers and patients.
• Working knowledge of medical terminology.
• Strong written and verbal communication for documentation.

Responsibilities

• Serve as first point of contact for inbound/outbound calls and route inquiries.
• Initiate prior authorization by collecting demographics and verifying eligibility.
• Accurately document all interactions in required systems on time.
• 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.
• Respond to voicemails and ensure timely follow-up with providers and customers.
• Research and resolve inquiries, including risk tasks and service tickets.
• Coordinate case updates with cross-functional teams.
• Monitor audit findings and ensure quality and compliance.
• Maintain confidentiality and data privacy policies.
• Support provider registration and system-related processes.
• Participate in training and continuous improvement initiatives.

Skills

Healthcare experience

Documentation & data entry

Communication skills

Multitasking in fast-paced work

Analytical thinking

PC proficiency / standard software

Education

High School Diploma or GED

Job description

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications, document and route cases, and support prior authorizations and claims processing. The role emphasizes accuracy, compliance, and exceptional customer service.

The position offers hybrid work (2 days/week near Madison, WI) and remote work in approved states. Candidates should possess healthcare experience and strong communication skills to document interactions and coordinate with clinical staff.