Intake Specialist II

CareSource

. Convert information received from providers/members via fax, phone, provider portal, or mail into electronic records while verifying member eligibility, provider network status, and benefit coverage .

Posted 11/9/2026full-timeRemote • Ohio • United StatesJunior💰 $41,200 - $66,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in managing prior authorizations and benefit verification processes while ensuring compliance with departmental standards. Proficient in communication with providers and members, with a strong focus on customer service and attention to detail.

Highest-signal resume keywords

Clinical ExperienceInsurance ExperienceManaged Care ExperienceMedical Terminology CertificateMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Prior Authorization ManagementBenefit VerificationMedical Management SystemsData AnalysisDocumentation Skills

Soft Skills

Attention to DetailCritical ThinkingProfessional Phone EtiquetteCustomer Service OrientationDecision Making

Certifications & Qualifications

Medical Terminology Certificate

Industry Keywords

Behavioral Health SystemsHealthcare EducationClinical ReviewProvider CommunicationWorkload Monitoring

About the role

Key responsibilities & impact

Convert information received from providers/members via fax, phone, provider portal, or mail into electronic records while verifying member eligibility, provider network status, and benefit coverage
Review requests and send fax back for ineligible members, duplicate requests, and items not covered by medical benefit
Facilitate authorization of benefits for participating and out-of-network providers, including completing appropriate forms and generating approval letters
Place prior authorizations when approval is appropriate per SOP into medical management systems
Initiate routing of prior authorizations requiring medical necessity review by clinical care reviewer
Communicate with providers regarding prior authorization requests and troubleshoot provider issues
Provide authorization information to providers, facilities, and/or members
Assist the Clinical team to ensure requests requiring clinical review are received and processed timely
Monitor workload aging and respond with appropriate urgency
Meet department standards and goals
Collaborate across company departments on issues, overrides, and questions
Maintain knowledge of processes and procedures for multiple markets
Cross-train in multiple markets and products
Adhere to departmental and company policies and procedures
Perform other job-related instructions as requested

Requirements

What you’ll need

High School Diploma or equivalent required
Minimum of eighteen (18) months of clinical and/or insurance experience, or related healthcare education or certification (i.e. STNA, MA, etc.) is required
Managed care experience preferred
Computer proficiency with knowledge and experience with Microsoft Office in a Windows based environment
Ability to analyze information
Ability to work independently and within a team environment
Attention to detail
Proper grammar usage
Critical listening and thinking skills
Professional phone etiquette
Customer service oriented
Decision making/problem solving
Change resiliency
Knowledge of behavioral health systems
Ability to accurately communicate summary information in a written format
Medical Terminology Certificate is preferred
Flexibility to work weekends and/or holidays, as needed

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Substantial and comprehensive total rewards package
Remote work arrangement
Flexibility to work weekends and/or holidays as needed