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Medical Management Intake Specialist

BCVS Group
Detroit, MI Full Time
POSTED ON 4/16/2025 CLOSED ON 4/18/2025

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

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