Intake Specialist

Blue Cross NC

. Process requests, inquiries, and transactions via phone, email, fax, and mail .

Posted 10/16/2026full-timeRemote • North Carolina • United StatesMid-LevelSenior💰 $41,600 - $66,561 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in processing requests and inquiries through various communication channels while ensuring accuracy and compliance. Proficient in data analysis, customer support, and maintaining service requests to enhance operational efficiency.

Highest-signal resume keywords

Request ProcessingData AnalysisCustomer SupportService Request MaintenanceClinical Review Notifications

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Request ProcessingData AnalysisService Request MaintenanceVerification of Member BenefitsTriage and Assignment of InquiriesMonthly Peer AuditsClinical Review Outcome Notifications

Soft Skills

Attention to DetailCommunication SkillsProblem-Solving

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Customer ServiceHealthcareAuthorizationEligibility VerificationPre-Certification

About the role

Key responsibilities & impact

Process requests, inquiries, and transactions via phone, email, fax, and mail
Review requests to ensure accuracy
Support internal and external customers via phone or email
Document pertinent call or inquiry information and attach supporting information
Route unresolved inquiries to the appropriate area for follow-up
Gather and analyze data to provide Team Leads feedback on employee development needs and providers requiring education on prior approval or pre-certification
Screen inquiries to determine whether authorization is required
Verify member benefits, eligibility, and provider setup
Maintain and update Service Requests
Research incorrect or missing information
Triage and assign incoming inquiries throughout the day
Perform monthly peer audits
Provide clinical review outcome notifications to members and providers verbally and in writing
Assist with special projects as needed

Requirements

What you’ll need

High school diploma or GED
3+ years of experience in related field
At this time, Blue Cross NC will not sponsor employment authorization for this position
Ability to process requests, inquiries, and transactions via phone, email, fax, and mail
Ability to review requests for accuracy
Ability to support internal and external customers via phone or email
Ability to document pertinent information and route unresolved inquiries appropriately
Ability to gather and analyze data
Ability to screen inquiries to determine whether authorization is required
Ability to verify member benefits, eligibility, and provider setup
Ability to maintain and update Service Requests and research incorrect or missing information
Ability to triage and assign incoming inquiries
Ability to perform monthly peer audits
Ability to provide clinical review outcome notifications verbally and in writing

Benefits

Comp & perks

The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage
Numerous health and wellness programs
Parental leave and support
Adoption and surrogacy assistance
Career development programs
Tuition reimbursement for continued education
401k match including an annual company contribution
Annual Incentive Bonus
Paid Time Off (PTO)