Immediate need for a talented Intake Representative. This is a 06+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-34346
Pay Range: $23/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:
- Enter specific data/information from physicians’ requests into a medical management authorization system.
- Validate patient and medical provider demographic information, ensuring correct selection of medical providers by specialty.
- Determine patient eligibility for healthcare benefits by assessing status and appropriate referral paths.
- Contact medical provider offices and patients to confirm urgent requests, using sound judgment to keep processes moving.
- Follow step-by-step instructions for redirecting patients into the provider network as required.
- Formulate correspondence in business letter format to provide clinical information to servicing providers.
- Generate letters and validate that they are directed to the correct providers/patients with accurate demographics.
- Account for personal production via a report that includes outcome data such as closed transactions.
- Meet goals and produce results through tracking performance and improving work processes.
- Collaborate with team members to achieve departmental success and provide outstanding customer service.
Key Requirements and Technology Experience:
- 2 years' experience in Medicare Appeals Intake & Triage within a healthcare or managed care environment.
- Strong understanding of appeal intake, case processing, regulatory requirements, and applicable turnaround times.
- Experience in a production/data entry environment performing alpha and numeric data entry in a healthcare-related organization.
- Proficiency in email and fax management, with a focus on data entry and documentation accuracy.
- Strong attention to detail, critical thinking, independent decision-making, organization, prioritization, and adaptability.
- High School Diploma or GED required; must have a copy of the degree or transcript available.
Our client is a leading Healthcare Industry 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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