Healthcare Intake & Authorization Specialist (Remote/Hybrid)

WPS Health Solutions; Charleston (SC); Remote; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote work options

Hybrid work options

Performance bonus

Job summary

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications, ensuring accurate intake, documentation and routing of cases. You will support prior authorizations, claims processing, and triage of tasks while maintaining high standards of accuracy and customer service.

The position offers an hourly rate of $20.00, with pay potentially fluctuating based on experience. Hybrid and remote options are available for qualified applicants, including remote work in

Qualifications

• Strong verbal and written communication skills; ability to document calls and outcomes accurately.
• Ability to multitask and manage high-volume, fast-paced workflows.
• Detail-oriented with good organizational skills.
• Proficient use of PC with standard software programs; familiarity with healthcare terminology.

Responsibilities

• Serve as first point of contact for inbound/outbound calls and route inquiries.
• Initiate prior authorizations 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.
• Maintain confidentiality and adhere to data privacy policies.

Skills

Communication

Multitasking

Documentation

Healthcare Terminology

PC Proficiency

Education

High School Diploma or GED

Job description

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications, ensuring accurate intake, documentation and routing of cases. You will support prior authorizations, claims processing, and triage of tasks while maintaining high standards of accuracy and customer service.

The position offers an hourly rate of $20.00, with pay potentially fluctuating based on experience. Hybrid and remote options are available for qualified applicants, including remote work in