Intake Specialist/ Prior Authorization Specialist

Title: Medical Mgmt Intake Specialist

Work Location: Detroit, MI, 48243

Duration: 6 Months

Job Type: Temporary Assignment

Work Type: Remote

Dept: Commercial Inpatient Pr

Pay Rate: $20.00-$21.00/hr

Overview

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Description:

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 stakeholder

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

TekWissen® Group is an equal opportunity employer supporting workforce diversity.