Intake Specialist Non Clinical
About The Position
The Intake Specialist – Utilization Management (Non-Clinical) provides administrative and operational support to the Utilization Management (UM) Department and serves as the first point of contact for utilization management requests. The role is strictly non-clinical and does not involve evaluating, interpreting, or applying clinical criteria or medical judgment. The specialist supports continuity, accuracy, and timeliness of UM workflows by receiving requests, confirming eligibility, creating cases, entering initial data into the UM platform, and routing requests to the appropriate clinical reviewer in accordance with established policies and procedures.
Requirements
- High school diploma or GED.
- Ability to work in a fast-paced, high-volume call and case-management environment.
- Strong data entry, documentation, and attention-to-detail skills.
- Professional verbal and written communication skills.
- Basic computer proficiency and ability to navigate multiple systems simultaneously.
Nice To Haves
- Experience in healthcare administration, managed care, utilization management, or prior authorization intake.
- Familiarity with electronic UM or authorization platforms.
- Experience working with providers, facilities, or health plans.
- Knowledge of healthcare terminology (non-clinical).
Responsibilities
- Receive utilization management requests as the first point of contact.
- Confirm eligibility.
- Create cases and enter initial data into the UM platform.
- Route requests to the appropriate clinical reviewer in accordance with established policies and procedures.
- Support continuity, accuracy, and timeliness of UM workflows.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
