4 Intake Specialist Jobs in Durham, NC
SPECTRAFORCE is Hiring an Intake Specialist Near Durham, NC
Shift hours: Hours are M-F 8 a.m. to 5 p.m. EST, but the que will be open until 5 p.m. EST and the team is expected to stay and support until all pending calls are completed/clear.
Location: Remote within NC This role is supporting an increase in call volume.
Intake role; inbound calls from Dr. Offices, medical facilities, hospitals regarding the services and surgeries in/out patient.
Only outbound calls will be for follow up.
Expectation is 40 to 60 calls per day and loading the cases for review by Clinical. Verifying the code will require prior approval and authorization.
Some college and/or medical billing and/or business adminstration is strongly referred.
Business Internet is required and and Internet Speed test needs to be included in all submittals.
MC Office And SharePoint Experience Are Required.Care Radius experience is a plus.
Job Description
- 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)
- High school diploma or GED
- 3 years of experience in related field.
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
Job Summary
Full Time
$55k-72k (estimate)
07/18/2024
09/11/2024
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