Role Description
Medical Management Intake Specialist
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Schedule: Full-time, 40 hours per week
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Hours: Monday through Friday, 8:00 AM to 5:00 PM
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Flexibility: Schedules will include some Saturdays, Sundays, and Holidays; overtime may be necessary
Qualifications
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Minimum of 2 years of experience in a healthcare, insurance, or related field
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High school graduate and college or university experience
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Medical terminology knowledge or a medical background is required
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Strong understanding of health insurance processes, including claims management, benefits coordination, and prior authorization procedures
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Customer service experience is required
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Strong phone skills with experience handling inbound and outbound calls
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Experience with healthcare management software and databases
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Excellent verbal and written communication skills
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Ability to explain complex information in a clear and concise manner
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Strong problem-solving skills with the ability to analyze data and identify trends
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Attention to detail and accuracy in all work
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Ability to work collaboratively with cross-functional teams
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Demonstrated ability to build and maintain positive relationships with colleagues, clients, and stakeholders
Requirements
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Two years of college or associate level degree equivalent (highly preferred)
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Experience with providing high quality, provider focused servicing to facilities and doctors (highly preferred)
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Work collaboratively as a team member with peers and nurses (highly preferred)
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Concise and accurate documentation entry into Care Advance (highly preferred)
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Effectively engage over the phone via both inbound and outbound with providers (highly preferred)
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Process provider requests as needed (highly preferred)
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Acts as providers' first trusted source for UM Prior Auth programs (highly preferred)
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Assign faxes to designated staff (highly preferred)
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Process requests for compliance inquiries (highly preferred)
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Access various UM department mailboxes and voicemail as needed (highly preferred)
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Ability to function independently (highly preferred)
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Critical Thinking (highly preferred)
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Bi-Lingual/Spanish (highly preferred)
Benefits
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Medical, dental, vision
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401k
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Term life
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Voluntary life and disability insurance
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Optional Pre-paid legal plan
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Optional Identity theft plan
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Optional Medical and dependent FSA
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Work-visa sponsorship
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Opportunity for advancement
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Long-term assignment with opportunity for hire by client
Company Description
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.