Healthcare Intake Specialist (Call Center- Fully Remote)
100 % Remote
High volume healthcare call center experience needed
6 month contract with possibility to extend
8-5 M-F EST Hours
? 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, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up as applicable
? 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)
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