Healthcare Intake Specialist - Hybrid/Remote Roles

WPS Health Solutions; Indianapolis (IN); Hybrid; USD 23.000 - 32.000; Vollzeit

Benefits dieser Stelle

Remote and hybrid work options

Performance bonus

401(k) with match

Paid time off

Health coverage Day 1

Professional development programs

Zusammenfassung

WPS Health Solutions seeks an Intake Specialist to manage inbound and outbound communications, ensuring accurate intake, documentation and routing of cases. The role supports prior authorizations, claims processing and drafting authorization letters in a hybrid work model.

You'll document interactions in systems, triage tasks to clinical staff, and maintain strict confidentiality while upholding data privacy policies. Experience in healthcare is preferred and strong communication is essential.

Qualifikationen

• High School Diploma or GED or equivalent experience.
• 2+ years in healthcare, insurance, or medical office setting; including provider/patient communication.
• Working knowledge of medical terminology.
• Strong verbal and written communication; ability to document calls clearly.
• Detail oriented with strong organizational skills; multitask in high-volume workflows.

Aufgaben

• Serve as first point of contact for inbound/outbound calls; gather information and route inquiries.
• Initiate prior authorization cases by collecting demographics and verifying eligibility.
• Document all interactions in system 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.

Kenntnisse

Healthcare experience

Communication skills

Medical terminology

Documentation

Multitasking

Ausbildung

High School Diploma or GED

Tools

Authorization platforms

PC software

Jobbeschreibung

WPS Health Solutions seeks an Intake Specialist to manage inbound and outbound communications, ensuring accurate intake, documentation and routing of cases. The role supports prior authorizations, claims processing and drafting authorization letters in a hybrid work model.

You'll document interactions in systems, triage tasks to clinical staff, and maintain strict confidentiality while upholding data privacy policies. Experience in healthcare is preferred and strong communication is essential.