Intake Specialist Michigan - Remote

Freddie Mac; Flint (MI); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking a dedicated individual for a fully remote position focused on service authorization and member care. The role involves collaborating with healthcare professionals to ensure quality service delivery and monitoring utilization patterns. Candidates should have a high school diploma and relevant experience in healthcare settings. This position offers flexibility, career growth, and a chance to positively impact member healthcare experiences.

Benefits

Flexible work location

Career advancement opportunities

Collaborative work environment

Competitive salary and benefits package

Qualifications

• Minimum of two years experience in a medical practice or healthcare setting.
• Completion of a medical-related training program.

Responsibilities

• Intake and process information regarding service authorization for members.
• Monitor members' utilization patterns to identify high-risk cases.

Skills

Communication

Collaboration

Education

High school diploma or equivalent

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Fully remote position offering flexibility in work location
- Opportunity for career advancement and growth within the organization
- Collaborative and dynamic work environment that values employee contributions
- Chance to make a positive impact on member health care experiences
- Competitive salary and benefits package

What to Expect (Job Responsibilities):
- Intake and process information regarding the authorization of services for members across all product lines
- Communicate effectively with case managers, primary care providers (PCP), and members to ensure quality service delivery
- Monitor members' utilization patterns to identify high-risk cases and ensure appropriate service use
- Clarify benefits for providers to enhance service delivery
- Collaborate with management to promote effective and cost-efficient service settings

What is Required (Qualifications):
- High school diploma or equivalent
- Minimum of two (2) years of experience in a medical practice office, urgent care, hospital, skilled nursing facility, or another healthcare setting, along with completion of a medical-related training program (e.g., Medical Assistant, EMT, or Nursing Assistant)
- Alternatively, three (3) years of experience in a medical practice office or similar healthcare environment

How to Stand Out (Preferred Qualifications):
- One (1) year of experience in Managed Care Utilization review
- Familiarity with the preauthorization process for medical services
- Experience working in a physician's office
- Knowledge of Medicare, HMO, PPO, TPA, PHO, and Managed Care functions (e.g., administration, medical delivery, claims processing, membership/eligibility)

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