Medical Management Intake Specialist Work Hours: • Schedule: Full-time, 40 hours per week • Hours: Monday through Friday, 8:00 AM to 5:00 PM • Flexibility: Schedules will include some Saturdays, Sundays, and Holidays; overtime may be necessary Required Skills and Experience: • 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 Highly preferred: • Two years of college or associate level degree equivalent • Experience with providing high quality, provider focused servicing to facilities and doctors • 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 • Ability to function independently • Critical Thinking + • Bi-Lingual/Spanish **Category** _Administrative_ **Function** _Clerical / Administrative_ **Req ID** _JN -112024-121685_