Clinical Intake & Correspondence Specialist I
Portland, Oregon - Added Aug 29th, 2025
Apply For this Opportunity
Back to Results
Clinical Intake & Correspondence Specialist I (UTAH)
Our client, a leading health care company dedicated to revolutionizing the industry, is looking for a remote Clinical Intake & Correspondence Specialist. In this role you will receive, research, and take initial action related to documentation and requests from a variety of sources related to Utilization Management (UM) Care Management (CM), and Disease Management (DM) programs. Does not make clinical decisions, but partners with licensed health professionals on appropriate actions and responses.
Pay Rate: $26.00 - $28.00/hr. DOE.
Location: Remote (Candidates must reside in one of our clients operating states: Oregon, Washington, Idaho, or Utah)
Contract Duration: 6+ Month, possible contract to hire!
Benefits Eligible!
Schedule Requirements:
Key Responsibilities for Clinical Intake & Correspondence Specialist:
**We are unable to accommodate corp. to corp. candidates**
About Motus Recruiting and Staffing, Inc:
Founded in 2006, Motus is an award-winning recruiting and staffing firm in the Pacific Northwest, specializing in professional services and technology solutions. We are a group of people who not only recognize the importance of representation, but actively fight for diversity, equity, and inclusion in the recruitment process. Our goal is to educate organizations on the importance of DEI when hiring, promoting, and supporting diverse employees. We are calling organizations to demonstrate their commitment to DEI by being intentional about who they hire. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability or protected veteran status.
PG/13393
Our client, a leading health care company dedicated to revolutionizing the industry, is looking for a remote Clinical Intake & Correspondence Specialist. In this role you will receive, research, and take initial action related to documentation and requests from a variety of sources related to Utilization Management (UM) Care Management (CM), and Disease Management (DM) programs. Does not make clinical decisions, but partners with licensed health professionals on appropriate actions and responses.
Pay Rate: $26.00 - $28.00/hr. DOE.
Location: Remote (Candidates must reside in one of our clients operating states: Oregon, Washington, Idaho, or Utah)
Contract Duration: 6+ Month, possible contract to hire!
Benefits Eligible!
Schedule Requirements:
- Ability to work remotely (Full time)
- Ability to work weekends/holidays/past 6:00 PM Pacific Time (If assigned to the weekend shift, will have flexibility to choose two days off during the week off.)
- Ability to work overtime when needed.
Key Responsibilities for Clinical Intake & Correspondence Specialist:
- Adheres to dependability, customer focus, and all performance criteria established by the department including timeliness, production, and quality standards for all work.
- Utilizes knowledge and understanding to research simple to moderately complex documentation and requests related to UM processes and requirements, and CM and DM programs from members, providers, employer groups, agents, member representatives and internal customers.
- Reviews requests for completeness of information and identifies additional information needed to initiate the request and asks for it when appropriate but does not perform any activities that require evaluation or interpretation of clinical information.
- Validates preauthorization requirements, member benefits, eligibility, and documents information in the appropriate system. Identifies errors promptly and determines what corrective steps may be taken to resolve errors.
- Creates cases for UM, CM, DM in the Care Management System as appropriate. May administratively authorize services as directed by Clinical Services Management.
- May coordinate case information in external vendor systems for Medical Director Reviews, as necessary.
- Receives medical inpatient admission and discharge notifications, documents admission and discharge notifications as necessary for UM and CM use.
- Coordinates reviews with members, providers, clinical staff, other departments, and vendors to process the request and provide a complete response, as necessary.
- Follows strict guidelines to ensure all work meets corporate standards for accuracy, timeliness, quality and compliance with federal, state, BCBSA and accreditation regulations. Organizes and keeps readily accessible all reference documents, policies and procedures needed to accomplish this.
- Facilitates the member’s or provider’s understanding of the preauthorization process and of the information necessary to effectively process a preauthorization, as needed.
- High school diploma or GED + 3 years Clinical Services experience or equivalent combination or education and experience.
- Strong customer service skills include listening, patience, empathy, maintaining confidentiality, and focus on meeting customer needs.
- 3+ years: MS Office, with health care systems and documentation (EMR, billing and claims).
- Demonstrated knowledge of medical terminology, anatomy and coding (CPT, DX, HCPCs). Knowledge and understanding of clinical services department programs (UM, CM, DM) and operations.
- Ability to investigate and research issues related to clinical programs and work with clinical staff to resolve.
- Ability to work independently, to prioritize work, meet deadlines and achieve operational standards.
**We are unable to accommodate corp. to corp. candidates**
About Motus Recruiting and Staffing, Inc:
Founded in 2006, Motus is an award-winning recruiting and staffing firm in the Pacific Northwest, specializing in professional services and technology solutions. We are a group of people who not only recognize the importance of representation, but actively fight for diversity, equity, and inclusion in the recruitment process. Our goal is to educate organizations on the importance of DEI when hiring, promoting, and supporting diverse employees. We are calling organizations to demonstrate their commitment to DEI by being intentional about who they hire. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability or protected veteran status.
PG/13393
Job ID: 13393