Healthcare Eligibility Specialist

7 days ago


San Antonio, Texas, United States University Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented individual to join our team as an Intake Representative. This role is responsible for providing exceptional customer service, processing authorization requests, and supporting utilization management activities.

Key Responsibilities
  • Determines member and provider eligibility status for telephonic and faxed authorization requests.
  • Provides administrative and technical support for utilization management and case management activity in our systems/databases.
  • Reviews pended authorization reports and updates them to completion in a timely manner.
Requirements
  • A high school diploma or equivalent experience is required.
  • College or commercial school courses in business functions are preferred.
  • Must be computer literate and possess data entry and typing skills as well as accuracy in administrative duties.
  • Three or more years of recent customer service experience, preferably in a managed care setting is required.
  • Working knowledge of medical terminology, customer service standards, and call center standards is required.
Compensation

The estimated salary for this role is $45,000 - $60,000 per year, depending on experience and location.



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