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Intake Specialist

Pyramid Consulting Inc · Durham, North Carolina, United States

FULL TIMEpermanent

Job Description

Immediate need for a talented Intake Specialist. This is a 06+months contract opportunity with long-term potential and is located in Durham, NC(Onsite). Please review the job description below and contact me ASAP if you are interested.

The following information aims to provide potential candidates with a better understanding of the requirements for this role.
Job ID:26-33078
Pay Range: $19 /hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Process a variety of requests, inquiries, and transactions via phone, email, fax, and mailReview requests to ensure accuracySupport internal & external customers via phone or emailDocument all pertinent information related to the call/inquiry, attaching supporting information as applicable, and route to the appropriate area for follow-up if unable to resolveGather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification processScreen inquiries to determine if authorization is requiredVerify member benefits and eligibility and/or provider setupMaintain and update Service Requests and research incorrect or missing informationTriage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staffPerform Peer Audits monthly as requiredProvide clinical review outcome notification to members and providers (verbal and written)
Key Requirements and Technology Experience:
High school diploma or GED3+ years of experience in a related fieldPrior authorization experienceKnowledge of health insurance and pharmacy
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. xzbcwsv You can access our privacy policy here.

Details

CompanyPyramid Consulting Inc
LocationDurham, North Carolina, United States
TypeFULL TIME
Nichetech
Experiencepermanent

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