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Medical Mgmt Intake Specialist

2 months ago

Detroit MI United States Strategic Staffing Solutions Full time

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING

Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity

Strategic Staffing Solutions is currently looking for a Medical Management Intake Specialist for a contract opportunity with one of our largest clients

Job Title: Medical Management Intake Specialist

Duration: 12 months

W2 contract engagement, No c2c.

Location: Detroit, MI

Schedule: Remote (Open to Local candidates only)

Key Skills:

- Minimum of 2 years of experience in a healthcare, insurance, or related field
- Customer service experience is required
- Strong understanding of health insurance processes, including claims management, benefits coordination, and prior authorization procedures
Required Skills/Experience:

- Minimum of 2 years of experience in a healthcare, insurance, or related field
- 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:

- 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
Education/Certifications

- Bachelor's degree
"Beware of scams. S3 never asks for money during its onboarding process."