Care Specialist, Telephonic Intake

Job Summary

To support the Utilization Management process, the remote Care Specialist, Telephonic Intake will manage non-clinical tasks including data entry, authorization requests, and case research while collaborating with interdisciplinary teams to ensure member care plans are executed effectively.

Key responsibilities

• Perform accurate intake and data entry for UM authorization requests and referrals across all lines of business
• Triage cases and assign receipts to appropriate teams while responding to inquiries from providers, facilities, and members
• Maintain documentation in the medical management workflow tool and provide phone management for incoming and outgoing calls

Required qualifications

• High School Diploma required; Associates or Bachelor's degree in a related field preferred
• 1-2 years of client-facing or data entry experience in a healthcare environment
• Previous system user experience in a highly electronic environment
• Proficiency in MS Office (Word, Excel, PowerPoint, Outlook, Teams)
• Ability and willingness to work weekends and holidays as necessary