Durham, NC, 27722, USA
20 hours ago
Intake Specialist
Description We are in search of an Intake Specialist to join our team. This role involves handling high volume inbound calls in a fast-paced environment and processing a variety of requests, inquiries, and transactions. The chosen candidate will be working remotely, handling calls from members, pharmacies, and providers about pharmacy authorizations. Responsibilities: • Take and manage 75 to 100 inbound calls daily from members, pharmacies, and providers regarding pharmacy authorizations • Accurately process customer requests, inquiries, and transactions via phone, email, fax, and mail • Maintain and update service requests, ensuring the accuracy of data • Efficiently multi-task and work within multiple programs and on multiple screens • Provide clinical review outcome notification to members and providers • Verify member benefits and eligibility and/or provider setup • Screen inquiries to determine if authorization is required • Conduct peer audits monthly as required • Utilize resources effectively to find the necessary answers • Provide support to internal and external customers via phone or email • 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 • Troubleshoot issues raised by pharmacies • Ensure a stable broadband internet connection with a minimum internet speed of 1Mbps upload and 6Mbps download directly connected to a router with an ethernet cable. This job offers a long-term contract employment opportunity. Requirements • Must possess strong training skills to educate team members and clients • Ability to answer inbound calls professionally and efficiently • Proficiency in research skills to gather and analyze data • Reviewing skills to assess the quality and accuracy of work • Knowledge of auditing procedures and ensuring accuracy of data • Familiarity with internet and its applications in a business setting • Ability to understand and execute benefit functions and hiring processes • Strong troubleshooting skills to resolve technical and non-technical issues • Experience in call center customer service and operations • Knowledge of financial notes and metric reporting • Proficiency in data analysis and interpretation • Familiarity with HealthCare.gov and its authorizations • Ability to handle missing invoices and escalate to appropriate personnel when necessary • Basic knowledge of pharmacy operations and procedures • Proficiency in using router switches and cabling • Experience in dealing with external customers and ensuring their satisfaction • Knowledge of call center operations and ability to ensure smooth functioning • Ability to ensure accuracy in all tasks and responsibilities • Proficiency in using 'About Time' software for time tracking • Strong communication skills to answer client and team queries effectively. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
Confirm your E-mail: Send Email