Intake Specialist

Immediate need for a talented Intake Specialist. This is a 06months contract opportunity with long-term potential and is located in Durham NC(Onsite). Please review the job description below and contact me ASAP if you are interested.

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
• Prior authorization experience
• Knowledge of health insurance and pharmacy

Our client is a leading HealthcareIndustry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position please apply online for immediate consideration.

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