What are the responsibilities and job description for the Medical Management Intake Specialist position at BCVS Group?
Position:- Medical Management Intake Specialist
Rate:- $22.75/hr.
Location:- 500 Renaissance Ctr - Detroit Michigan 48243
Job Description:-
Rotating Saturdays, Holidays and Overtime as needed.
THIS POSITION IS REMOTE. LOCAL CANDIDATES ONLY - Contractor must be of reasonable proximity to office for IT support if needed
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
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
Job Type: Contract
Pay: From $22.75 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Customer service: 2 years (Required)
- Insurance Claims: 1 year (Required)
- Prior Authorization: 1 year (Required)
Work Location: Remote
Salary : $23