Intake Specialist Voice
Healthcare AI company automating prior authorization and utilization management.
Boston, Massachusetts, USA
About Cohere Health
Cohere Health (coherehealth.com) is a Boston healthcare technology company whose AI-driven platform automates prior authorization and care coordination for health plans.
Skills
Candidate Availability
Required and preferred rules are kept separate and reflect the wording in the original posting.
About the Role
You will support US healthcare operations by processing patient and provider requests for healthcare services and prior authorization workflows. You will handle calls and other request channels, review documentation, validate information, update healthcare systems, resolve missing data, document interactions, follow HIPAA guidelines, and escalate complex issues.
Requirements
- 5 years of customer service experience
- 2+ years of call center experience
- English communication
- Attention to detail
- Information analysis
- Healthcare systems
- Microsoft Office
- Google Workspace
- Problem-solving
- Decision-making
- US healthcare operations
- Medical billing
- Claims
- Prior authorization
- Healthcare BPO/KPO
- Payer operations
- Provider operations
- Contact center operations
- HIPAA
- Patient privacy
- Healthcare documentation review
- Customer service
Responsibilities
- Handle inbound and outbound calls with US healthcare providers and stakeholders
- Process healthcare requests received through calls fax email and electronic systems
- Review medical documentation for completeness and accuracy
- Validate information for prior authorization and clinical review
- Enter and update patient provider and request details in healthcare systems
- Identify missing information and coordinate resolution
- Follow HIPAA guidelines and maintain patient confidentiality
- Document interactions in internal systems
- Provide first-level resolution
- Escalate complex issues
- Meet call quality productivity and service-level expectations
