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Medical Mgmt Intake Specialist

Medical Mgmt Intake Specialist

TekWissen LLCDetroit, MI, United States
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Overview :

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Title : Medical Mgmt Intake Specialist

Work Location : Detroit, MI, 48243

Duration : 12 Months

Job Type : Temporary Assignment

Work Type : Remote

Dept : MA Inpatient Precertifi

Engagement Description

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

    • TekWissen Group is an equal opportunity employer supporting workforce diversity.

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    Intake Specialist • Detroit, MI, United States

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