Overview
Intake Specialist role supporting US healthcare operations by processing patient and provider requests accurately and on time, including prior authorization workflows.
What you'll do
- Handle inbound and outbound calls with US healthcare providers and stakeholders.
- Process incoming healthcare requests received from US providers through calls, fax, email, and electronic systems.
- Review medical documentation for completeness and accuracy.
- Validate required information needed for prior authorization and clinical review.
- Enter and update patient, provider, and request details accurately in healthcare systems.
- Identify missing information and coordinate with appropriate teams or providers for resolution.
- Maintain high standards of accuracy, quality, and productivity.
- Follow HIPAA guidelines and maintain confidentiality of patient information.
- Support process improvements and operational initiatives.
- Provide professional and timely support while addressing provider questions and requests.
- Document all interactions accurately in internal systems.
- Provide first-level resolution whenever possible and escalate complex issues to appropriate teams.
- Maintain a customer-focused approach during every interaction.
- Meet call quality, productivity, and service-level expectations.
- Follow ISMS roles and responsibilities, align to organization policies and procedures, and stay updated with ISMS roles as assigned by department or process heads.
What you'll need
- 5 years of customer service experience, with 2+ years in call center experience.
- Bachelor's degree or equivalent experience preferred.
- Excellent verbal and written English communication skills.
- Strong attention to detail and ability to process healthcare information accurately.
- Ability to analyze information and identify missing or incorrect data.
- Comfortable working with multiple applications and healthcare systems.
- Strong computer skills including Microsoft Office and Google Workspace.
- Ability to work in a fast-paced, target-driven environment.
- Strong problem-solving and decision-making skills.
- Ability to work independently and collaborate with remote teams.
- Willingness to learn US healthcare processes and terminology.
- Fair understanding of Information Security practices.
- Knowledge of HIPAA regulations and patient privacy practices.
- Experience handling provider or customer calls.
- Experience with healthcare documentation review.
- Strong written and verbal communication.
- Customer service orientation.
- Good analytical and documentation skills.
Nice to have
- Experience in US healthcare operations, medical billing, claims, or prior authorization.
- Experience in healthcare BPO/KPO, payer/provider operations, or contact center environments.
- Ability to manage multiple tasks with accuracy.
- Ability to handle sensitive healthcare information professionally.
- Adaptability and willingness to learn new processes.
Details
- Location: Hyderabad (Nacharam), Telangana, India.
- Candidates should reliably commute or plan to relocate before starting work (preferred).
- Interview process: Talent Acquisition connect, meeting with the Hiring Manager, behavioral interview(s), case study interview with Senior Leadership (subject to change).
Read the full description and apply on the company’s own careers page.