Medical Management Intake Specialist
ICONMA, LLC
Our Client, a Health Insurance company, is looking for a Medical Management Intake Specialist for their Detroit, MI/Remote location. Responsibilities:
+ Work collaboratively as a team member with peers and nurses
+ Concisely and accurately enter documentation into Care Advance
+ Effectively engage over the phone via both inbound and outbound with providers
+ Process provider requests as needed
+ Acts as providers first trusted source for UM Prior Auth programs
+ Assign faxes to designated staff
+ Process requests for compliance inquiries
+ Access various UM department mailboxes and voicemail as needed
Requirements:
+ Minimum of 2 years of experience in a healthcare, insurance, or related field
+ High school graduate and college or university experience
+ Medical terminology knowledge or a medical background is required
+ Strong understanding of health insurance processes, including claims management, benefits coordination, and prior authorization procedures
+ Customer service experience is required
+ Strong phone skills with experience handling inbound and outbound calls
+ Experience with healthcare management software and databases
+ Excellent verbal and written communication skills
+ Ability to explain complex information in a clear and concise manner
+ Strong problem-solving skills with the ability to analyze data and identify trends
+ Attention to detail and accuracy in all work
+ Ability to work collaboratively with cross-functional teams
+ Demonstrated ability to build and maintain positive relationships with colleagues, clients, and stakeholders
+ Two years of college or associate level degree equivalent
+ Experience with providing high quality, provider focused servicing to facilities and doctors
+ Ability to function independently
+ Critical Thinking
+ Bi-Lingual/Spanish
Why Should You Apply?
+ Health Benefits
+ Referral Program
+ Excellent growth and advancement opportunities
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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