Medical Management Intake Specialist

ICONMA; Detroit (MI); Remote; USD 40,000 - 65,000; Full time

Job summary

An innovative health insurance company is seeking a dedicated Medical Management Intake Specialist for a remote role. This position offers the chance to engage with healthcare providers, manage prior authorization processes, and ensure compliance with health insurance protocols. Candidates will need to demonstrate strong customer service skills, attention to detail, and the ability to work collaboratively within a team. With excellent growth opportunities and a supportive work environment, this role is perfect for those looking to advance their careers in the healthcare sector.

Benefits

Health Benefits

Referral Program

Growth and advancement opportunities

Qualifications

• 2+ years in healthcare or insurance, with strong customer service skills.
• Knowledge of health insurance processes and medical terminology required.

Responsibilities

• Handle inbound and outbound calls with providers and clients.
• Process provider requests and manage documentation accurately.

Skills

Customer service experience

Knowledge of medical terminology

Strong phone skills

Problem-solving skills

Attention to detail

Ability to work collaboratively

Bi-Lingual in Spanish

Education

High school diploma

Associate degree or college experience

Tools

Healthcare management software

Care Advance

Job description

Our Client, a Health Insurance company, is looking for a Medical Management Intake Specialist for their Remote location.

Requirements:

1. Minimum of 2 years of experience in a healthcare, insurance, or related field
2. High school graduate; college or university experience preferred
3. Knowledge of medical terminology or a medical background is required
4. Strong understanding of health insurance processes, including claims management, benefits coordination, and prior authorization procedures
5. Customer service experience is required
6. Strong phone skills with experience handling inbound and outbound calls
7. Experience with healthcare management software and databases
8. Excellent verbal and written communication skills
9. Ability to explain complex information clearly and concisely
10. Strong problem-solving skills with data analysis and trend identification abilities
11. Attention to detail and accuracy in all work
12. Ability to work collaboratively with cross-functional teams
13. Proven ability to build and maintain positive relationships with colleagues, clients, and stakeholders
14. Two years of college or an associate degree equivalent
15. Experience providing high-quality, provider-focused service to facilities and doctors
16. Ability to work collaboratively as part of a team with peers and nurses
17. Efficiently and accurately enter documentation into Care Advance
18. Engage effectively over the phone with providers, handling both inbound and outbound calls
19. Process provider requests as needed
20. Serve as the provider's first trusted contact for UM Prior Authorization programs
21. Assign faxes to designated staff
22. Process requests for compliance inquiries
23. Access various UM department mailboxes and voicemails as needed
24. Ability to work independently
25. Demonstrate critical thinking skills
26. Bi-Lingual in Spanish is a plus

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or expression, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.