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Clinical Intake & Correspondence Specialist I

Clinical Intake & Correspondence Specialist I

Apex SystemsPortland, OR, US
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Clinical Intake & Correspondence Specialist I

Join Our Client's Mission to Improve Healthcare Access and Efficiency

Our client, a leading healthcare organization, is seeking a Clinical Intake & Correspondence Specialist I to support Utilization Management (UM), Care Management (CM), and Disease Management (DM) programs. This is a non-clinical role that works closely with licensed professionals to ensure accurate and timely processing of healthcare documentation and requests.

Remote Opportunity Candidates must reside in Oregon, Washington, Idaho, or Utah

Flexible Schedule | Full-Time | Weekends & Evenings May Be Required

Key Responsibilities

  • Serve as the initial point of contact for clinical documentation and inquiries.
  • Research and validate preauthorization requirements, member benefits, and eligibility.
  • Create and manage cases in the Care Management System.
  • Coordinate with internal teams, providers, and vendors to ensure complete and compliant responses.
  • Maintain high standards for accuracy, timeliness, and customer service.
  • Support weekend and evening operations as needed.

What You'll Need

  • High school diploma or GED.
  • 3+ years of experience in customer service or clinical services.
  • Strong written and verbal communication skills.
  • Intermediate computer proficiency (Microsoft Office, Outlook, EMR systems).
  • Knowledge of medical terminology, anatomy, and coding (CPT, DX, HCPCs).
  • Ability to work independently, prioritize tasks, and meet deadlines.
  • Flexibility to adapt quickly and think creatively to solve problems.
  • Preferred Qualifications

  • Experience in a health insurance or provider office setting.
  • Professional / business correspondence writing experience.
  • Familiarity with UM, CM, and DM programs and operations.
  • Important Notes

  • Candidates must reside in Oregon, Washington, Idaho, or Utah.
  • Please include your location in your resume or submission comments.
  • This role may require weekend and holiday shifts, with flexible weekday time off.
  • Must be available to work past 6 : 00 PM Pacific Time and overtime when needed.
  • Strong attendance and punctuality are essential.
  • Our client is committed to transforming healthcare through innovation, collaboration, and compassion. Join a team that values your contributions and empowers you to make a difference.

    Ready to apply? Submit your resume today and help shape the future of healthcare.

    EEO Employer

    Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

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