Remote Case Intake & Review Specialist (Phone & Docs)

OncoHealth; United States; Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Full benefits from day one

Company bonus

Job summary

OncoHealth is seeking a Case Review Specialist - Phone Intake to ensure complete and accurate submission of documentation for case review and determinations. This role acts as a liaison between providers, health plans, members and internal teams, ensuring timely progression of cases within established workflows and SLAs.

You will handle inbound inquiries, document interactions in the case management system, and coordinate with Case Management, Customer Support, Medical Directors, Appeals, Claims

Qualifications

• High school diploma or equivalent required.
• Minimum 2 years in healthcare operations or related roles.
• Strong verbal and written communication skills.
• Ability to handle high call volumes while multitasking across systems.
• Attention to detail and accurate documentation.
• Ability to work independently within structured processes.
• Proficient with case management systems and MS Office.

Responsibilities

• Manage a high-volume inbound call queue with quality and accuracy.
• Be primary contact for case status, intake, and documentation needs.
• Provide timely, policy-aligned responses to providers and staff.
• Document all calls and actions in the case management system.
• Meet SLAs: 97% service level and ASA under 30 seconds for 80% of calls.
• Coordinate with internal teams to move cases forward efficiently.
• Support appeals and monitor timelines.
• Adhere to quality, compliance, and audit standards.

Skills

Call Center

Clear Communication

Documentation

Multitasking

Interdepartmental Collaboration

Process Adherence

Education

High School Diploma

Associate or Bachelor's preferred

Tools

Case Management Systems

MS Office Suite

Job description

OncoHealth is seeking a Case Review Specialist - Phone Intake to ensure complete and accurate submission of documentation for case review and determinations. This role acts as a liaison between providers, health plans, members and internal teams, ensuring timely progression of cases within established workflows and SLAs.

You will handle inbound inquiries, document interactions in the case management system, and coordinate with Case Management, Customer Support, Medical Directors, Appeals, Claims