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Medical Management Intake Specialist

Remote:

Full Remote

Experience:

Mid-level (2-5 years)

Work from:

United States

Offer summary

Qualifications:

Minimum 2 years in healthcare or insurance, High school diploma with college experience, Knowledge of medical terminology, Strong understanding of health insurance processes.

Key responsabilities:

Handle inbound and outbound calls
Collaborate with cross-functional teams

ICONMA Human Resources, Staffing & Recruiting Large https://www.iconma.com/

1001 - 5000 Employees

See more ICONMA offers

Job description

Medical Management Intake Specialist

Location: Remote
Duration: 12 monthsaOur Client, a Health Insurance Company, is looking for Medical Management Intake Specialist for their Remote location

Requirements

Minimum of 2 years of experience in a healthcare, insurance, or related field
High school graduate and college or university experience
Medical terminology knowledge or a medical background is required
Strong understanding of health insurance processes, including claims management, benefits coordination, and prior authorization procedures
Customer service experience is required
Strong phone skills with experience handling inbound and outbound calls
Experience with healthcare management software and databases
Excellent verbal and written communication skills
Ability to explain complex information in a clear and concise manner
Strong problem-solving skills with the ability to analyze data and identify trends
Attention to detail and accuracy in all work
Ability to work collaboratively with cross-functional teams
Demonstrated ability to build and maintain positive relationships with colleagues, clients, and stakeholders

Highly preferred:

Two years of college or associate level degree equivalent
Experience with providing high quality, provider focused servicing to facilities and doctors
Work collaboratively as a team member with peers and nurses
Concisely and accurately enter documentation into Care Advance
Effectively engage over the phone via both inbound and outbound with providers
Process provider requests as needed
Acts as providers first trusted source for UM Prior Auth programs
Assign faxes to designated staff
Process requests for compliance inquiries
Access various UM department mailboxes and voicemail as needed
Ability to function independently
Critical Thinking
Bi-Lingual/Spanish

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 express, 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.
Job Description:
Dept: Commercial Utilization

Required Skills and Experience:
Minimum of 2 years of experience in a healthcare, insurance, or related field
High school graduate and college or university experience
Medical terminology knowledge or a medical background is required
Strong understanding of health insurance processes, including claims management, benefits coordination, and prior authorization procedures
Customer service experience is required
Strong phone skills with experience handling inbound and outbound calls
Experience with healthcare management software and databases
Excellent verbal and written communication skills
Ability to explain complex information in a clear and concise manner
Strong problem-solving skills with the ability to analyze data and identify trends
Attention to detail and accuracy in all work
Ability to work collaboratively with cross-functional teams
Demonstrated ability to build and maintain positive relationships with colleagues, clients, and stakeholders

Highly preferred:
Two years of college or associate level degree equivalent
Experience with providing high quality, provider focused servicing to facilities and doctors
Work collaboratively as a team member with peers and nurses
Concisely and accurately enter documentation into Care Advance
Effectively engage over the phone via both inbound and outbound with providers
Process provider requests as needed
Acts as providers first trusted source for UM Prior Auth programs
Assign faxes to designated staff
Process requests for compliance inquiries
Access various UM department mailboxes and voicemail as needed
Ability to function independently
Critical Thinking
Bi-Lingual/Spanish