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Pyramid Consulting, Inc · Durham, North Carolina
Immediate need for a talented
Intake Specialist.
This is a
06+months contract
opportunity with long-term potential and is located in
Durham, NC(Onsite) . Please review the job description below and contact me ASAP if you are interested.
Job ID:26-33078
Pay Range: $19 /hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Process a variety of requests, inquiries, and transactions via phone, email, fax, and mail
Review requests to ensure accuracy
Support internal & external customers via phone or email
Document all pertinent information related to the call/inquiry, attaching supporting information as applicable, and route to the appropriate area for follow-up if unable to resolve
Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process
Screen inquiries to determine if authorization is required
Maintain and update Service Requests and research incorrect or missing information
Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff
Perform Peer Audits monthly as required
Provide clinical review outcome notification to members and providers (verbal and written)
Key Requirements and Technology
High school diploma or GED
Knowledge of health insurance and pharmacy
Our client is a leading
Healthcare Industry,
and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Details
| Company | Pyramid Consulting, Inc |
| Location | Durham, North Carolina |
| Type | FULL TIME |
| Niche | Full-time |