Intake Specialist - Part Time
Salt Lake City, Salt Lake County, Utah, 84102, USA
Listed on 2026-06-28
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Administrative/Clerical
Healthcare Administration, Data Entry
PEHP Health & Benefits is a division of the Utah Retirement Systems that proudly serves Utah’s public employees through high quality and competitively priced medical, dental, life, and long-term disability insurance plans on a self-funded basis. As a government entity, we embrace both a public mission and a commitment to creating customer value, excelling in the market, and improving healthcare. We offer a competitive salary with generous benefits, personal development in a positive team environment, and excellent work-life balance.
For most jobs, remote work is available for 9 out of every 10 workdays.
This is a part-time, non-benefited position. Averaging less than 20 hours/week.
POSITION SUMMARY
PEHP’s Intake Team plays a mission critical role in PEHP’s centralization of core operational functions by processing all inbound documents. The Intake Specialist is responsible for reviewing, approving, and processing routine forms, ensuring that data is accurately loaded into the system, and forwarding documents to other departments as appropriate. The Intake Specialist must understand PEHP forms, processes, and operation systems. Successful performance of this position requires a high-level of commitment, attention to detail, and a willingness to understand the various programs and processes within PEHP.
ESSENTIAL JOB FUNCTIONS AND DUTIES
- Processing routine data and forms related to demographics, enrollment, prior authorization, and provider contracting when submitted electronically, including the Message Center, or by paper. Ensuring routine forms are accurate and complete before processing. Ensuring approved forms are accurately loaded into the system. When applicable, finalizes entity records loaded into the system
- Reviewing, indexing, and routing of documents submitted to PEHP by:
- Indexing files into document retention systems.
- Creating and finalizing entity records and initiating workflows within the PEHP core administration systems.
- Determining system processes and routing workflows to appropriate departments, including:
- Claims submissions.
- Appeals and payment correction requests.
- Recovery requests for over payments, subrogation, and third-party liability.
- Returned mail.
- Incoming scanned mail.
- Documents related to enrollment, prior authorization, and provider contracting that contain data or forms that are not routine.
- Reviewing daily, weekly, monthly, and quarterly reports on all key performance indicators.
- Responding to requirements, goals, priorities, and review of input data as assigned by the Intake Supervisor.
Education and Experience
High school diploma or equivalent.
PEHP experience is preferred.
Knowledge, Skills, and Abilities
This list contains knowledge, skills, and abilities that are typically associated with the job. It is not all-inclusive and may vary from position to position:
Required technical skills include the working knowledge and ability of:
- Various office management software systems related to alpha-numeric and document management.
- Ten-key operation.
- Microsoft Office Suite.
Required mathematical skills include working knowledge of:
- Calculating figures and amounts such as discounts, percentages, fractions, and ratios.
Required working knowledge of:
- PEHP claims adjudication policies, procedures, and processes.
- Intricacies related to medical and dental claims.
- PEHP enrollment processes.
- Basic medical and dental terminology.
- PEHP Medical, Dental, Life, Long Term Disability, Accidental Death & Dismemberment, and Pharmacy benefits, policies, limitations, and exclusions.
- PEHP appeals process policies.
Must possess excellent communication skills:
- Ability to read, analyze, and interpret software operational procedure manuals, technical…
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