Intake Specialist

Job Description

Immediate need for a talented Intake Specialist. This is a 06+months contract opportunity with long-term potential and is located in Durham, NC(Onsite) . Please review the job description below and contact me ASAP if you are interested.

Job ID:26-33078

Pay Range: $19 /hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

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• Process a variety of requests, inquiries, and transactions via phone, email, fax, and mail
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• Review requests to ensure accuracy
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• Support internal & external customers via phone or email
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• Document all pertinent information related to the call/inquiry, attaching supporting information as applicable, and route to the appropriate area for follow-up if unable to resolve
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• 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
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• Screen inquiries to determine if authorization is required
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• Verify member benefits and eligibility and/or provider setup
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• Maintain and update Service Requests and research incorrect or missing information
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• Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff
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• Perform Peer Audits monthly as required
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• Provide clinical review outcome notification to members and providers (verbal and written)
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Key Requirements and Technology Experience:

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• High school diploma or GED
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• 3+ years of experience in a related field
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• Prior authorization experience
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• Knowledge of health insurance and pharmacy
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Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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