To support care management functions, the full-time Health Services Intake Specialist will facilitate eligibility and benefit verification, authorization status inquiries, and documentation processes, initially training onsite before becoming eligible for remote work. Key responsibilities Verify member eligibility and benefits, as well as provider participation and network status Document information received via phone, fax, or provider portal accurately and timely Support Nurse Care Managers by creating episodes for services and admissions for medical necessity reviews Required qualifications High School Diploma or GED 1+ years of customer or provider service experience, preferably in the health care industry Experience in a production environment with metrics for quality and performance Demonstrated ability to apply critical thinking to resolve issues while maintaining composure Proficiency with Microsoft Office applications
Health Services Intake Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.