Overview :
TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.
Title: Medical Mgmt Intake Specialist
Work Location: Detroit, MI 48243
Duration: 12 Months
Job Type: Temporary Assignment
Work Type: Remote
Dept: MA Utilization Programs
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
TekWissen Group is an equal opportunity employer supporting workforce diversity.