Description
Opportunity Overview:
The Intake Specialist role is a key position supporting US healthcare operations by ensuring accurate and timely processing of patient and provider requests. In this role, you will support healthcare providers, internal clinical teams, and operations teams by collecting, reviewing, and processing information required for healthcare services and prior authorization workflows.
As an Intake Specialist, you will manage healthcare requests received through multiple channels including phone, email, fax, and online platforms. You will be responsible for gathering required documentation, validating information, updating systems accurately, and ensuring requests are processed within defined turnaround times.
This role requires strong communication skills, attention to detail, problem-solving ability, and the ability to work effectively in a fast-paced healthcare operations environment.
What you’ll do:
Provider/Customer Calling Support (Inbound & Outbound)
- Handle inbound and outbound calls with US healthcare providers and stakeholders.
- Process incoming healthcare requests received from US providers through Calls , fax, email, and electronic systems.
- Review medical documentation for completeness and accuracy.
- Validate required information needed for prior authorization and clinical review.
- Enter and update patient, provider, and request details accurately in healthcare systems.
- Identify missing information and coordinate with appropriate teams/providers for resolution.
- Maintain high standards of accuracy, quality, and productivity.
- Follow HIPAA guidelines and maintain confidentiality of patient information.
- Support process improvements and operational initiatives.
- Provide professional and timely support while addressing provider questions and requests.
- Document all interactions accurately in internal systems.
- Provide first-level resolution whenever possible.
- Escalate complex issues to appropriate teams.
- Maintain a customer-focused approach during every interaction.
- Meet call quality, productivity, and service-level expectations.
ISMS roles and responsibilities
- Fair understanding of Information Security practices.
- Align to the organization policies and procedures.
- Ensure to get updated with ISMS roles as assigned by the department/process heads.
Required Qualifications:
Must-haves
- 5 years of customer service experience with 2+ years in call center experience
- Bachelor’s degree or equivalent experience preferred.
- Excellent verbal and written English communication skills.
- Strong attention to detail and ability to process healthcare information accurately.
- Ability to analyze information and identify missing or incorrect data.
- Comfortable working with multiple applications and healthcare systems.
- Strong computer skills including Microsoft Office and Google Workspace.
- Ability to work in a fast-paced, target-driven environment.
- Strong problem-solving and decision-making skills.
- Ability to work independently and collaborate with remote teams.
- Willingness to learn US healthcare processes and terminology.
- Experience in US healthcare operations, medical billing, claims, or prior authorization.
- Experience in healthcare BPO/KPO, payer/provider operations, or contact center environments.
- Knowledge of HIPAA regulations and patient privacy practices.
- Experience handling provider/customer calls.
- Experience with healthcare documentation review.
- Strong written and verbal communication.
- Customer service orientation.
- Good analytical and documentation skills.
Nice-to-haves
- Ability to manage multiple tasks with accuracy.
- Ability to handle sensitive healthcare information professionally.
- Adaptability and willingness to learn new processes.
Ability to commute/relocate:
- Hyderabad(Nacharam), Telangana: Reliably commute or planning to relocate before starting work (Preferred)
Interview Process*:
- Connect with Talent Acquisition
- Meet with the Hiring Manager
- Behavioral Interview(s)
- Case Study
- Interview with Senior Leadership
*Subject to change
About Cohere Health:
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs.
Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
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