Intake Specialist

Title: Intake Specialist Duration: 6 months Location: Remote - in NC Shift: M-F 8-5 EST Job description: Process a variety of requests, inquiries and transactions via phone, email, fax, and mail. Review requests to ensure accuracy. Support internal & external customers via phone or email. Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up as applicable. 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. Screen inquiries to determine if authorization is required. Verify member benefits and eligibility and/or provider setup. Maintain and update Service Requests and research incorrect or missing information. Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff. Perform Peer Audits monthly as required. Provide clinical review outcome notification to members and providers (verbal and written). Hiring Requirements: High school diploma or GED. 3+ years of experience in related field. Top 3-4 Required Skills: Pharmacy experience, Prior authorization exp, Industry-specific experience – required, ideal, necessary? Pharmaceutical. What is this role's main focus for the 1st 90 days? Success within the first 30-90 days would be gaining a strong understanding of the team, processes, and performance expectations while building positive relationships with colleagues and stakeholders. I would aim to become proficient in the role's responsibilities, consistently meet performance standards, contribute to team goals, and identify opportunities to improve efficiency or customer experience. Breakdown of Duties/Typical Day: On queue by 8am, strictly an inbound call position. On these calls they will be providing prior authorization status, how to What does the training look like for this role? 2 week training with a facilitator going over powerpoints and hands on learnings, will do shadowing on the third week. Years of Experience: 3+ years experience. Industry Specific Experience – required, ideal, necessary? Healthcare experience. Apply To This Job