Healthcare Intake Coordinator (Hybrid/Remote)

WPS Health Solutions; Denver (CO); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote and hybrid work options

Performance bonus/merit increase

401(k) with company match

Paid time off

Health insurance

Dental insurance

Telehealth services start DAY 1

Professional and LeadershipDevelopment

Job summary

WPS Health Solutions is hiring an Intake Specialist to manage inbound and outbound communications, support prior authorizations, and handle claims processing with accuracy and compliance. You will document interactions, triage cases, and draft approval or denial letters, ensuring timely responses and confidentiality.

The role offers hybrid work options and a strong focus on customer service in a healthcare setting.

Qualifications

• High School Diploma or GED or equivalent experience.
• 2+ years in healthcare, insurance, or medical office; including 1+ years with providers and patients.
• Working knowledge of medical terminology.
• Strong verbal and written communication; document calls clearly in determinations of authorization status or claim denials.
• Ability to multitask in high-volume, fast-paced workflows.
• Detail-oriented with strong organizational skills.
• Proficient with PC and standard software.

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 appropriate clinical staff based on established 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
• Retrieve and respond to voicemails; ensure timely follow-up with providers and customers
• Research and resolve inquiries, including risk tasks and service tickets
• Communicate case updates and coordinate with cross-functional teams
• Monitor and address audit findings; ensure quality and compliance standards
• Maintain confidentiality and adhere to data privacy and security policies
• Support provider registration and system-related processes
• Participate in team meetings, training, and continuous improvement initiatives
• Assist with documentation of procedures and workflow enhancements
• Other job-related responsibilities may be assigned as required

Skills

Medical terminology

Verbal communication

Written communication

Multitasking

Detail-oriented

Analytical thinking

PC proficiency

Healthcare/insurance experience

Education

High School Diploma or GED

Job description

WPS Health Solutions is hiring an Intake Specialist to manage inbound and outbound communications, support prior authorizations, and handle claims processing with accuracy and compliance. You will document interactions, triage cases, and draft approval or denial letters, ensuring timely responses and confidentiality.

The role offers hybrid work options and a strong focus on customer service in a healthcare setting.