Medical Management Intake Specialist

Detroit, Michigan

Employer: Strategic Staffing Solutions
Industry: 
Salary: Competitive
Job type: Part-Time
STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

Medical Management Intake Specialist

Location: Detroit, MI ** Position is 100% remote - LOCAL CANDIDATES ONLY

Work Hours:
  • Schedule: Full-time, 40 hours per week
  • Hours: Monday through Friday, 8:00 AM to 5:00 PM
  • Flexibility: Schedules will include some Saturdays, Sundays, and Holidays; overtime may be necessary


Duration: 12+ Months

Role Type: W2 Contract Engagement

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

The four pillars of our company are to:
  • Set the bar high for what a company should do
  • Create jobs
  • Offer people an opportunity to succeed and change their station in life
  • Improve the communities where we live and work through volunteering and charitable giving

Job ID: JOB-237692
Publish Date: 06 Sep 2024
Created: 2024-09-07
Reference: JOB-237692
Country: United States
State: Michigan
City: Detroit
ZIP: 48209

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