Intake Specialist, MI - Remote - McLaren Careers
About the position
Responsibilities
• Intake information regarding the authorization of services for members.
• Communicate with case managers, PCPs, and members to promote quality service delivery.
• Monitor members' utilization patterns to identify high-risk cases and under/over use of services.
• Clarify benefits for providers.
Requirements
• High school diploma or equivalent.
• Two years' experience in a medical practice office, urgent care, hospital, skilled nursing facility, or other healthcare setting, along with completion of a medical-related training program (e.g., Medical Assistant, EMT, Nursing Assistant).
• OR three years' experience in a medical practice office, urgent care, hospital, skilled nursing facility, or other healthcare setting.
Nice-to-haves
• One year of Managed Care Utilization review experience.
• Experience and knowledge of the preauthorization process for medical services.
• Physician office experience.
• Experience and knowledge of Medicare, HMO, PPO, TPA, PHO, and Managed Care functions.
Apply Now
Apply Now
Responsibilities
• Intake information regarding the authorization of services for members.
• Communicate with case managers, PCPs, and members to promote quality service delivery.
• Monitor members' utilization patterns to identify high-risk cases and under/over use of services.
• Clarify benefits for providers.
Requirements
• High school diploma or equivalent.
• Two years' experience in a medical practice office, urgent care, hospital, skilled nursing facility, or other healthcare setting, along with completion of a medical-related training program (e.g., Medical Assistant, EMT, Nursing Assistant).
• OR three years' experience in a medical practice office, urgent care, hospital, skilled nursing facility, or other healthcare setting.
Nice-to-haves
• One year of Managed Care Utilization review experience.
• Experience and knowledge of the preauthorization process for medical services.
• Physician office experience.
• Experience and knowledge of Medicare, HMO, PPO, TPA, PHO, and Managed Care functions.
Apply Now
Apply Now