Healthcare Specialist - W2 ONLY

nTech Workforce; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Specialist, Talent Acquisition. This 100% remote position requires candidates to reside in MD, DC, or VA. You will manage high-volume inbound calls, process medical authorizations, and ensure accurate patient data entry. Ideal candidates have a High School Diploma and at least 3 years of related administrative experience in healthcare. Experience with GuidingCare and ICD-10 coding is preferred. Join us to support our vital clinical teams and providers.

Qualifications

• 3+ years of administrative experience in healthcare or health insurance.
• Previous Call Center experience is mandatory.
• Ability to work with CPT and ICD-10/diagnosis coding.

Responsibilities

• Manage high-volume inbound phone calls from provider offices.
• Process incoming faxes and create medical authorizations.
• Review patient cases for missing discharge dates.

Skills

Call Center experience

CPT coding

ICD-10 coding

Microsoft Office proficiency

Education

High School Diploma

Tools

GuidingCare

Facets

Nice CXone

Job description

Senior Specialist, Talent Acquisition at nTech Workforce

Location: 100% Remote, but must reside in MD, DC, or VA

Terms of Employment:

• This position is 100% remote. Candidates must reside in MD, DC, or VA.

Overview:

Join a leading healthcare organization as a Utilization Management Coordinator on the Commercial team. You will be the vital link between clinical teams and providers, ensuring that patient data is accurately captured so that claims can be processed efficiently. You will…

Responsibilities:

• Manage high-volume inbound phone calls from provider offices and facilities.
• Process incoming faxes and create medical authorizations.
• Review patient cases for missing discharge dates and reach out to facilities to close information gaps.
• Enter and update patient data within the GuidingCare and Facets platforms.

Required Qualifications:

• High School Diploma and 3+ years of administrative experience in healthcare or health insurance.
• Mandatory previous Call Center experience.
• 2+ years of experience with CPT and ICD-10/diagnosis coding.
• Strong proficiency in Microsoft Office (Excel, Outlook, Teams).

Preferred Qualifications:

• Experience using GuidingCare (Strongly Preferred).
• Familiarity with Facets or Nice CXone (online phone system).