Healthcare Intake Specialist (Call Center- Fully Remote)

Remote, USA Full-time Posted 2025-04-26

100 % Remote

High volume healthcare call center experience needed

6 month contract with possibility to extend

8-5 M-F EST Hours

? 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 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)

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