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Intake Specialist

$18 - $19 per hour

TEKsystems

Intake Specialist Location: Frederick, MD | Shift: Monday‑Friday 8 am‑5 pm Job Summary Verifies insurance eligibility and benefits for prospective referrals, determines rate requirements for in‑ or out‑of‑network coverage, obtains authorizations, negotiates rates, and manages authorizations and workload to ensure timely completion. Responsibilities Verify insurance eligibility and benefits of prospective referrals. Determine rate requirements as it relates to in‑ or out‑of‑network coverage. Obtain all necessary authorizations from payers for services requested. Initiate one‑time letters of agreement (LOAs) and negotiate rates according to established policies. Recognize payer changes that could affect authorization and elevate to leadership when needed. Manage work assignments to ensure all tasks and coordination notes are completed promptly. Coordinate and communicate with the branch location regarding payer changes or updates. Document and communicate patient deductible, out‑of‑pocket expense, lifetime maximum, benefit days, patient responsibility, and other benefits to the agency accurately. Document authorization details, including effective and end dates, in the software application via patient notes, authorizations, tasks, workflow, phone calls, and email. Review and respond to branch location's urgent requests swiftly and accurately. Skills Data entry Customer service Financial acumen Microsoft Office Clerical proficiency Health care authorizations Health insurance knowledge Attention to detail Qualifications Entry‑level. Open to individuals with varying experience provided they are comfortable with computers. Must be dependable, possess strong customer‑service orientation, and demonstrate a willingness to learn. Must pass all required background and eligibility checks. Proven ability to meet or exceed productivity metrics as outlined in policy. Ability to navigate multiple monitors and use Microsoft Office efficiently. Employment Type & Compensation Contract position based in Mt Airy, MD. Pay range: $18.00‑$19.00 per hour. Benefits (for temporary role) Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – pre‑tax and Roth post‑tax contributions available Life Insurance (voluntary life & AD&D for employee and dependents) Short‑ and long‑term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time off/leave (PTO, vacation, or sick leave) Equal Opportunity Statement We are an equal‑opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. #J-18808-Ljbffr

Vacancy posted 23 hours ago
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