Customer Service (Healthcare)

w3r Consulting is seeking a Medical Management Intake Specialist to join their team. The role involves providing support in healthcare management, focusing on customer service and understanding health insurance processes.

Responsibilities:

• Proven customer service experience with strong phone skills (inbound and outbound calls)
• Experience working with healthcare management systems and databases
• Excellent verbal and written communication skills, with the ability to explain complex information clearly
• Strong analytical and problem-solving abilities, with attention to detail and accuracy
• Ability to collaborate effectively with cross-functional teams
• Demonstrated ability to build and maintain positive relationships with colleagues, providers, and stakeholders
• Experience providing high-quality, provider-focused support to healthcare facilities and physicians
• Ability to work collaboratively with nurses and peers in a team environment
• Experience documenting accurately and concisely in systems such as Care Advance
• Strong ability to engage with providers via inbound and outbound calls
• Experience processing provider requests, including prior authorizations and compliance inquiries
• Ability to act as a primary point of contact for providers regarding UM (Utilization Management) programs
• Experience managing administrative tasks such as assigning faxes, handling UM mailboxes, and voicemail follow-ups
• Ability to work independently with minimal supervision
• Strong critical thinking skills
• Bilingual (Spanish) is a plus

Requirements:

• Minimum of 2 years of experience in healthcare, insurance, or a related field
• High school diploma required; some college or university coursework preferred
• Strong knowledge of medical terminology and healthcare concepts
• Solid understanding of health insurance processes, including claims management, benefits coordination, and prior authorization
• Proven customer service experience with strong phone skills (inbound and outbound calls)
• Experience working with healthcare management systems and databases
• Excellent verbal and written communication skills, with the ability to explain complex information clearly
• Strong analytical and problem-solving abilities, with attention to detail and accuracy
• Ability to collaborate effectively with cross-functional teams
• Demonstrated ability to build and maintain positive relationships with colleagues, providers, and stakeholders
• Associate degree or equivalent college-level education
• Experience providing high-quality, provider-focused support to healthcare facilities and physicians
• Ability to work collaboratively with nurses and peers in a team environment
• Experience documenting accurately and concisely in systems such as Care Advance
• Strong ability to engage with providers via inbound and outbound calls
• Experience processing provider requests, including prior authorizations and compliance inquiries
• Ability to act as a primary point of contact for providers regarding UM (Utilization Management) programs
• Experience managing administrative tasks such as assigning faxes, handling UM mailboxes, and voicemail follow-ups
• Ability to work independently with minimal supervision
• Strong critical thinking skills
• Bilingual (Spanish) is a plus