Intake & Authorization Specialist - Hybrid/Remote

WPS Health Solutions; Jacksonville (FL); Remote; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote and hybrid work options

Performance bonus and merit increases

401(k) with full match on early salary

Health insurance, dental, and telecare

Job summary

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications for health services, focusing on accurate intake, documentation, and routing of cases. You will support prior authorizations, claims processing, and triage tasks while upholding compliance and excellent customer service.

The role offers an hourly rate of $20.00 with hybrid/remote options. Candidates should have healthcare or insurance experience and strong documentation skills within a fast-paced

Qualifications

• Strong verbal and written communication skills.
• Ability to multitask in a fast-paced environment.
• Detail-oriented with strong organizational skills.
• Analytical thinking and problem-solving ability.
• Proficient with PC and standard software programs.

Responsibilities

• Serve as first point of contact for inbound/outbound calls and route inquiries.
• Initiate prior authorization cases by collecting demographics and verifying eligibility.
• Document all interactions in the system within required timeframes.
• Triage and assign cases to appropriate clinical staff.
• Index and manage clinical documentation within authorization platforms.
• Process claims and support appeals and authorization workflows.
• Draft and issue approval or denial letters within defined timelines.
• Retrieve voicemails and ensure timely follow-up with providers and customers.

Education

High School Diploma or GED or equivalent experience

Job description

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications for health services, focusing on accurate intake, documentation, and routing of cases. You will support prior authorizations, claims processing, and triage tasks while upholding compliance and excellent customer service.

The role offers an hourly rate of $20.00 with hybrid/remote options. Candidates should have healthcare or insurance experience and strong documentation skills within a fast-paced