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Intake Specialist

3 months ago

Durham, United States Experis Full time

Experis IT ManpowerGroup has partnered with a leading healthcare insurance company for an Intake Specialistrole to assist their team. This is a Remote role. Industry: Healthcare Insurance Co Title: Intake Specialist Location: Remote Duration: 6 months Pay: $22.50/hr Job Description What You'll Do Process a variety of requests, inquiries, and transactions via phone, email, fax, and mail Review requests to ensure accuracy Support internal & external customers via phone or email Document all pertinent information related to the call/inquiry, attach supporting information as applicable, and if unable to resolve route to the appropriate area for follow-up as applicable Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process Screen inquiries to determine if authorization is required Verify member benefits and eligibility and/or provider setup. Maintain and update Service Requests and research incorrect or missing information. Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff Perform Peer Audits monthly as required Provide clinical review outcome notification to members and providers (verbal and written) You will need to have: High school diploma or GED 3+ years of experience in related fields.