STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

Medical Management Intake Specialist

Location: Detroit, MI ** Position is 100% remote - LOCAL CANDIDATES ONLY

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

Duration: 12+ Months
Role Type: W2 Contract Engagement

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

The four pillars of our company are to:

* Set the bar high for what a company should do
* Create jobs
* Offer people an opportunity to succeed and change their station in life
* Improve the communities where we live and work through volunteering and charitable giving
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