Healthcare Intake & Authorization Specialist (Hybrid/Remote)

Wis Phys Svc Ins Corp; Madison (WI); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

401(k) match

Health insurance

Dental insurance

Telehealth services

Paid time off

Professional development

Job summary

WPS in Madison, WI is seeking an Intake Specialist to manage inbound and outbound calls, document interactions, and route inquiries for prior authorizations and claims processing. The role supports authorization workflows, drafts denial/approval letters, and maintains confidentiality while delivering high-quality service.

Hybrid work arrangement with in-office presence 2 days a week near HQ; remote options available in approved states.

Qualifications

• High School Diploma or GED or equivalent experience.
• 2+ years in healthcare, insurance, or medical office; includes provider/patient communication.
• Working knowledge of medical terminology.
• Strong verbal and written communication; document calls and explain authorization/denials clearly.
• Multitask in a high-volume, fast-paced environment.
• Detail-oriented with strong organizational skills.
• Analytical thinking and problem-solving.
• Proficient with PC and standard software.

Responsibilities

• Serve as first contact for inbound/outbound calls and route inquiries.
• Initiate prior authorization by collecting demographics and verifying eligibility.
• Document all interactions in system 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.
• Retrieve and respond to voicemails and 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.
• Monitor and address audit findings to ensure quality and compliance.
• Maintain confidentiality and adhere to data privacy policies.
• Support provider registration and system processes.
• Participate in meetings, training and improvement initiatives.
• Assist with documentation of procedures and workflow enhancements.
• Other duties as required.

Skills

Healthcare experience

Communication

Documentation

Multitasking

Attention to detail

Analytical thinking

Education

High School Diploma or GED

Job description

WPS in Madison, WI is seeking an Intake Specialist to manage inbound and outbound calls, document interactions, and route inquiries for prior authorizations and claims processing. The role supports authorization workflows, drafts denial/approval letters, and maintains confidentiality while delivering high-quality service.

Hybrid work arrangement with in-office presence 2 days a week near HQ; remote options available in approved states.