Remote Jobs
Intake Specialist Michigan - Remote
This job is now closed
Job Description
- Req#: 25002829
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Fully remote position offering flexibility in work location
- Opportunity for career advancement and growth within a dynamic organization
- Supportive and collaborative work environment that values employee contributions
- Engaging role focused on improving member health and service delivery
- Equal opportunity employer committed to diversity and inclusion
What to Expect (Job Responsibilities):
- Intake information regarding service authorizations for members across all product lines
- Communicate effectively with case managers, PCPs, and members to ensure quality service delivery
- Monitor utilization patterns to identify high-risk cases and manage service usage effectively
- Clarify benefits and services for healthcare providers to ensure understanding and compliance
- Promote the delivery of cost-effective healthcare solutions to enhance member satisfaction
What is Required (Qualifications):
- High school diploma or equivalent
- Two (2) years of experience in a medical practice office, urgent care, hospital, skilled nursing facility, or other healthcare settings, along with completion of a medical-related training program (e.g., Medical Assistant, EMT, Nursing Assistant)
- Alternatively, three (3) years of experience in a medical practice office, urgent care, hospital, skilled nursing facility, or other healthcare settings
How to Stand Out (Preferred Qualifications):
- One (1) year of managed care utilization review experience
- Knowledge and experience with the preauthorization process for medical services
- Experience in a physician office setting
- Understanding of Medicare, HMO, PPO, TPA, PHO, and managed care functions, including administration and claims processing
#HealthcareServices #RemoteWork #CareerOpportunity #DiversityAndInclusion #MemberSatisfaction
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.