Hybrid/Remote Healthcare Intake Specialist

WPS Health Solutions; Omaha (NE); Hybrid; USD 25.000 - 33.000; Vollzeit

Benefits dieser Stelle

Remote and hybrid work options

Performance bonus

401(k) with 100% match up to 3% + 50%

Health insurance start Day 1

Professional development programs

Zusammenfassung

WPS Health Solutions is hiring an Intake Specialist to manage inbound and outbound communications, ensure accurate intake, and route cases for prior authorizations and claims processing. The role emphasizes documentation, compliance, and customer service.

The position supports authorization workflows, drafts approval/denial letters, and coordinates with clinical staff. A background in healthcare/insurance and strong communication skills are required.

Qualifikationen

• High School Diploma or GED or equivalent experience.
• Two+ years in healthcare, insurance, or medical office environment; including communication with providers/patients.
• Working knowledge of medical terminology.
• Strong verbal and written communication with documentation of calls and authorization/denial status.
• Ability to multitask in high-volume, fast-paced workflows.
• Detail-oriented with strong organizational skills.
• Analytical thinking and problem-solving capability.
• Proficient use of PC with knowledge of standard software programs.

Aufgaben

• Serve as first point of contact for inbound/outbound calls and route inquiries.
• Initiate prior authorization cases by collecting demographics and verifying eligibility.
• Document interactions in systems within required timeframes.
• Triaging and assigning cases to clinical staff per 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.
• Respond to voicemails and 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.

Kenntnisse

Medical terminology

Communication skills

Multitasking

Detail oriented

Analytical thinking

PC software proficiency

Ausbildung

High School Diploma or GED

Jobbeschreibung

WPS Health Solutions is hiring an Intake Specialist to manage inbound and outbound communications, ensure accurate intake, and route cases for prior authorizations and claims processing. The role emphasizes documentation, compliance, and customer service.

The position supports authorization workflows, drafts approval/denial letters, and coordinates with clinical staff. A background in healthcare/insurance and strong communication skills are required.