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Medical Mgmt Intake Specialist

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

United States

Offer summary

Qualifications:

2 years of experience in healthcare, High school diploma or equivalent, Knowledge of medical terminology, Understanding of health insurance processes, Customer service and phone skills.

Key responsabilities:

Handle inbound and outbound calls
Process provider requests as needed
Engage with providers via phone
Accurately document information
Access UM department communication tools

KYYBA Inc Human Resources, Staffing & Recruiting SME https://www.kyyba.com/

501 - 1000 Employees

See more KYYBA Inc offers

Job description

Your missions

Will this position be required to work onsite for any reason at any time? Yes/No; No this role is completely remote

Medical Management Intake Specialist
Work Hours:
• Schedule: Full-time, 40 hours per week
• Hours: Monday through Friday, 8:00 AM to 5:00 PM
• Flexibility: Schedules will include some Saturdays, Sundays, and Holidays; overtime may be necessary
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