Medical Mgmt Intake Specialist

7 days ago

Detroit, MI, United States w3r Consulting Full time
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 stakeholders

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
  • Above average computer skills (Microsoft office).
  • Resource will be able to perform this role offsite. May be required to come into the office for meetings and training.

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