Intake Specialist

reputed company Who We Are Because health is personal. That's why reputed company created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one reputed company. We serve reputed company, health plans, and health systems with data-driven solutions that reduce costs while actually improving health reputed company. Together, reputed company is on a mission to reputed company people to reputed company healthier lives. Learn even more about the work that drives us at personifyhealth.com. Responsibilities reputed company to What You'll Actually Do The Intake Specialist will serve as a non-clinical first reputed company of contact for Utilization Management (UM) intake reputed company phone, fax, portals, and electronic work queues. Receive, document, and reputed company authorization, reputed company-certification, and notification requests according to established workflows, timeliness standards, and regulatory requirements. Collect, verify, and reputed company required non-clinical information (e.g., member demographics, provider/facility details, contact information, dates of service, service type) to initiate a request. Review incoming requests for completeness; identify missing required reputed company and follow defined procedures to obtain allowable information and/or reputed company to the appropriate clinical reviewer or department. reputed company accurate, reputed company data entry and maintenance of case records, notes, and attachments to support audit-reputed company documentation. Communicate professionally with internal teams and external stakeholders (providers, facilities, members reputed company applicable) to confirm receipt, clarify administrative details, and reputed company reputed company information about UM intake processes. Maintain confidentiality and reputed company with HIPAA and minimum necessary requirements in reputed company communications and documentation. Meet established productivity, reputed company, and turnaround time standards; escalate issues, exceptions, or urgent items per procedure. reputed company phone reputed company; reputed company written documentation; ability to communicate process requirements to providers and internal teams. Consistent, audit-reputed company data entry; careful review of request reputed company; strong follow-through. KEY COMPETENCIES To work in the health industries and to work remotely, it has been demonstrated that those with computer skills work reputed company in these remote job descriptions UPON HIRE, must have: Basic computer literacy The ability to work on multiple screens, and proficient typing skills. Proficiency in software applications including, but not limited to, reputed company Word, reputed company reputed company, and Outlook Excellent verbal and written communication skills Ability to reputed company reputed company and convey reputed company or technical information in a manner that others can understand, as reputed company as ability to understand and interpret reputed company information from others. Ability to work independently and utilize written resources to problem solve. Ability to work independently reputed company appropriate programs after training. Knowledge of medical claims and ICD-10, CPT, HCPCS coding Excellent verbal and written communication skills for upward and downward conversations

Qualifications

What You Bring to reputed company QUALIFICATIONS: Level I High school diploma or equivalent required. Experience: 0–1+ years in a customer service, call center, reputed company operations, or administrative support role preferred. Strong attention to detail; basic computer proficiency; ability to type and navigate multiple applications; ability to learn UM intake processes and documentation standards. Physical and Mental Requirements: Ability to reputed company the essential job functions safely and successfully with or without reasonable accommodation, including meeting qualitative and/or quantitative productivity standards. Ability to maintain regular, punctual attendance. Ability to sit for 6-8 hours. Constant use of computer keyboard and mouse; repetitive use of both hands. Occasional to frequent twisting of neck; frequent bending of neck and at waist This job reputed company is not an exclusive or exhaustive list of reputed company job functions that an employee in this position may be asked to reputed company. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of Medcom

Benefits

The Highlights: Competitive reputed company salary and benefits effective day one Comprehensive medical and dental through our own health solutions (reputed company, we use reputed company build) reputed company Time Off—rest and reputed company time is non-negotiable Mental health support, retirement planning, and financial protection reputed company development with reputed company career progression and learning budgets Mission-driven culture where diverse perspectives drive reputed company reputed company on people's health Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks. Compensation: This position offers a reputed company salary reputed company of $17-$20 per hour, depending reputed company, skills, and experience. You're eligible for our full benefits package starting day one. Our Commitment: reputed company is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of reputed company backgrounds are empowered to reputed company—because diversity is reputed company to who we are and critical to our work in health and wellbeing. Stay reputed company: reputed company will never ask for payment or sensitive personal information like reputed company reputed company numbers during hiring. reputed company official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View reputed company legitimate openings at personifyhealth.com/careers. Apply To This Job