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Medical Mgmt Intake Specialist

Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

2+ years in healthcare or insurance, High school graduate; college preferred, Knowledge of medical terminology, Strong understanding of health insurance processes, Experience with healthcare management software.

Key responsabilities:

  • Handle inbound and outbound calls effectively
  • Explain complex information clearly
  • Process provider requests and inquiries
  • Enter accurate documentation into Care Advance
  • Collaborate across teams for service delivery
KYYBA Inc logo
KYYBA Inc Human Resources, Staffing & Recruiting SME https://www.kyyba.com/
501 - 1000 Employees
See more KYYBA Inc offers

Job description

Job 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



About Kyyba:
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development. 
Disclaimer: 
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans /Veteran Spouses/ Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.”
 
Rewards:
Medical, dental, vision
401k 
Term life
Voluntary life and disability insurance
Optional Pre-paid legal plan
Optional Identity theft plan
Optional Medical and dependent FSA
Work-visa sponsorship
Opportunity for advancement
Long-term assignment with opportunity for hire by client 
 
SELECT AWARDS
  • An INC 5000 company for 10 years
  • Corp! Michigan Economic Bright Spots 
  • Crain’s Detroit Business Top Staffing Service Companies in Detroit
  • TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
  • Best of MichBusiness winner in HR Wizards & Partnerships
  • Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
  • 101 Best & Brightest Companies to Work for in Michigan
 
 

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
EnglishSpanish
Check out the description to know which languages are mandatory.

Other Skills

  • Independent Thinking
  • Telephone Skills
  • Critical Thinking
  • Relationship Building
  • Non-Verbal Communication
  • Detail Oriented
  • Problem Solving
  • Customer Service

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