Intake Specialist/ Prior Authorization Specialist
Title: Medical Mgmt Intake Specialist Work Location: Detroit, MI, 48243 Duration: 6 Months Job Type: Temporary Assignment Work Type: Remote Dept: Commercial Inpatient Pr Pay Rate: $20.00-$21.00/hr Overview: TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Description: 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 stakeholder
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
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