Healthcare Intake & Authorization Specialist (Hybrid/Remote)

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

Benefits offered by this job

Remote and hybrid work

Bonus opportunities

401(k) with match

Paid time off

Health insurance

Dental insurance

Telehealth

Professional development

Job summary

WPS—A health solutions company is seeking an Intake Specialist to manage inbound and outbound communications for Health Services, ensuring accurate intake, documentation and routing of cases. You will support prior authorizations, claims processing, and drafting authorization/denial letters while maintaining high accuracy and compliance.

The role offers a hybrid schedule (2 days per week in the Madison, WI area) with remote work options in approved states and competitive benefits.

Qualifications

• 2+ years in healthcare, insurance, or medical office environments.
• Strong verbal and written communication with ability to document calls and explain requirements clearly.
• Analytical thinking and problem-solving capabilities.
• Detail-oriented with strong organizational skills.

Responsibilities

• Serve as first point of contact for inbound/outbound calls; gather information and route inquiries appropriately.
• Initiate prior authorization cases by collecting demographics and verifying eligibility.
• Document all interactions in system(s) within required timeframes.
• Triage and assign cases to clinical staff based on guidelines.
• Draft and issue approval/denial letters within defined timelines.
• Research and resolve inquiries, including risk tasks and service tickets.

Skills

Healthcare experience

Medical terminology

Communication skills

Documentation accuracy

Multitasking

Tools

PC & Office software

Job description

WPS—A health solutions company is seeking an Intake Specialist to manage inbound and outbound communications for Health Services, ensuring accurate intake, documentation and routing of cases. You will support prior authorizations, claims processing, and drafting authorization/denial letters while maintaining high accuracy and compliance.

The role offers a hybrid schedule (2 days per week in the Madison, WI area) with remote work options in approved states and competitive benefits.