Intake Specialist

Pyramid Consulting, Inc; Durham (NC); On-site; USD 22,000 - 30,000; Full time

Job summary

Pyramid Consulting, Inc. has an immediate opening for an Intake Specialist in Durham, NC on an onsite basis. This 06+ months contract position offers benefits and the potential for long-term growth within the healthcare services sector.

The ideal candidate will have a high school diploma or GED and 3+ years of related field experience, with knowledge of health insurance and pharmacy. Daily duties include processing requests by phone/email, documenting information, and coordinating with internal

Qualifications

• High school diploma or GED required.
• 3+ years of related field experience.

Responsibilities

• Process a variety of requests, inquiries, and transactions via phone, email, fax, and mail.
• Review requests to ensure accuracy.
• Support internal & external customers via phone or email.
• Document all pertinent information related to the call/inquiry, attaching supporting information as applicable, and route to the appropriate area for follow-up if unable to resolve.
• Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process.
• Screen inquiries to determine if authorization is required.
• Verify member benefits and eligibility and/or provider setup.
• Maintain and update Service Requests and research incorrect or missing information.
• Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff.
• Perform Peer Audits monthly as required.
• Provide clinical review outcome notification to members and providers (verbal and written).

Education

High school diploma or GED

Job description

Immediate need for a talented Intake Specialist. This is a 06+months contract opportunity with long-term potential and is located in Durham, NC(Onsite).

Job ID:26-33078

Pay Range: $19 /hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Process a variety of requests, inquiries, and transactions via phone, email, fax, and mail
• Review requests to ensure accuracy
• Support internal & external customers via phone or email
• Document all pertinent information related to the call/inquiry, attaching supporting information as applicable, and route to the appropriate area for follow-up if unable to resolve
• Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process
• Screen inquiries to determine if authorization is required
• Verify member benefits and eligibility and/or provider setup
• Maintain and update Service Requests and research incorrect or missing information
• Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff
• Perform Peer Audits monthly as required
• Provide clinical review outcome notification to members and providers (verbal and written)

Key Requirements and Technology Experience:

• High school diploma or GED
• 3+ years of experience in a related field
• Knowledge of health insurance and pharmacy

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.