Intake Specialist

Intake Specialist

First point of contact for network providers, physicians, and members. Responsible for processing incoming prior‑authorization requests via phone, fax and web while ensuring that both internal and external customers receive a level of service that exceeds their expectations. The Intake Specialist will utilize two methods of communication (inbound and outbound) calls and written correspondence. Must respond to and resolve questions and problems from network providers, imaging centers/facilities, members, and referring providers.

The Intake Specialist also receives inbound calls on follow‑up to existing authorization requests either in process or processed.

• Receive and process authorization request intake via phone, fax and/or web
• Collect and transfer non‑clinical data
• Acquire structured clinical data
• Review authorization request for completeness of information
• Verify eligibility
• Verify physician and rendering facility participation
• Initiate an online authorization based on information received
• Submit cases for second‑level review if medical necessity cannot be established
• Provide customer service to callers following up on existing authorization request either in process or processed
• Perform functions according to client program design
• Perform other duties/functions as directed by Supervisor

Work Experience: 0 or more years

Education: High School Diploma or GED (Required)

Skills:

• Data entry
• Customer service
• Detail oriented
• Strong written and verbal skill

Experience: 1 year of applicable experience (e.g., prior experience in medical, healthcare, and/or contact center setting)

Education: High School Diploma or GED

• Remain in a stationary position for prolonged periods
• Be adaptive and change priorities quickly; meet deadlines
• Attention to detail
• Operate computer programs and software
• Ability to communicate effectively with audiences in person and in electronic formats
• Day‑to‑day contact with others (co‑workers and/or the public)
• Making independent decisions
• Ability to work in a collaborative business environment in close quarters with peers and varying interruptions

Working Conditions: Remote.
Travel Requirements: No travel required.

Physical Demands: Sedentary:
Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met.

Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $42,000 – $63,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide‑range salary structure to allow base salary flexibility within our ranges.

Employees also receive access to the following benefits:

• Health, dental, vision, life and disability insurance
• 401k retirement program
• Paid time off
• Participation in Premier's employee incentive plans
• Tuition reimbursement and professional development opportunities

• Ranked #1 on Charlotte's Healthiest Employers list for 2019, 2020, 2022, and 2023 and 21st Healthiest Employer in America (2023)
• Named one of the World's Most Ethical Companies by Ethisphere Institute for the 16th year in a row
• Modern Healthcare Best in Business Awards:
  Consultant - Healthcare Management (2024)
• The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting

Employees receive:

• Perks and discounts
• Access to on‑site and online exercise classes

Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things…