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Utilization Management Intake Specialist Jobs in Virginia

Beacon Specialized Living

Intake Specialist - VA

Fairfax, VA · On-site

$18.25 - $24.50/hr

The Intake Specialist is also responsible for updating the CRM system in a timely manner and generating reports based on the data gathered. Primary Responsibilities: * Always be compliant with all ...

Beacon Specialized Living

Intake Specialist - VA

Dumfries, VA · On-site

$17.50 - $23.50/hr

The Intake Specialist is also responsible for updating the CRM system in a timely manner and generating reports based on the data gathered. Primary Responsibilities: * Always be compliant with all ...

Cooley

BIC Intake Specialist

Reston, VA

$72K - $99K/yr

BIC Intake Specialist Cooley is seeking a BIC Intake Specialist to join the Business Intake and ... management procedures pertaining to the opening of new client/matters * Prepare and present ...

Cooley

BIC Intake Specialist

Reston, VA

$72K - $99K/yr

BIC Intake Specialist Cooley is seeking a BIC Intake Specialist to join the Business Intake and ... management procedures pertaining to the opening of new client/matters * Prepare and present ...

Cooley

BIC Intake Specialist

Reston, VA · On-site

$72K - $99K/yr

BIC Intake Specialist Cooley is seeking a BIC Intake Specialist to join the Business Intake and ... management procedures pertaining to the opening of new client/matters * Prepare and present ...

Cooley LLP

BIC Intake Specialist

Reston, VA

$72K - $99K/yr

BIC Intake Specialist Cooley is seeking a BIC Intake Specialist to join the Business Intake and ... management procedures pertaining to the opening of new client/matters * Prepare and present ...

Cooley LLP

BIC Intake Specialist

Reston, VA

$72K - $99K/yr

BIC Intake Specialist Cooley is seeking a BIC Intake Specialist to join the Business Intake and ... management procedures pertaining to the opening of new client/matters * Prepare and present ...

Cooper Hurley Injury Lawyers

Intake Specialist

Norfolk, VA · On-site

$17.25 - $23/hr

What You'll Do As an Intake Specialist, you'll be the first impression of our firm by: * Speaking ... Accurately documenting information in our case management system * Scheduling attorney ...

Summit BHC

Utilization Specialist

Williamsburg, VA · On-site

Utilization Specialist | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job ... Coordinates, performs, and monitors all utilization review/management activities of the hospital to ...

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Utilization Management Intake Specialist information

What is a utilization management intake specialist?

Utilization Management Intake Specialists are healthcare professionals who review, process, and coordinate incoming requests for medical services, treatments, or procedures. They work with healthcare providers, insurance companies, and patients to ensure that requests meet clinical and administrative guidelines before approval or denial. Their role is crucial in helping organizations manage healthcare resources efficiently, prevent unnecessary services, and support quality patient care. They often verify patient information, collect required documentation, and may help in pre-authorization processes.

What are the key skills and qualifications needed to thrive as a utilization management intake specialist, and why are they important?

To thrive as a Utilization Management Intake Specialist, you need a solid understanding of healthcare processes, medical terminology, and insurance guidelines, often supported by experience in a clinical or administrative healthcare setting. Familiarity with electronic health record (EHR) systems, utilization review software, and knowledge of HIPAA regulations are typically required. Strong organizational skills, attention to detail, and effective communication help you excel in managing information and coordinating with patients, providers, and payers. These skills are essential for ensuring timely and accurate intake processing, supporting appropriate care decisions, and maintaining compliance in a healthcare environment.

What are some common challenges faced by utilization management intake specialists, and how can they be overcome?

Utilization Management Intake Specialists often encounter challenges such as managing high volumes of referrals, ensuring accurate and timely data entry, and coordinating effectively with multiple healthcare providers. Balancing these responsibilities requires strong organizational skills and attention to detail. Developing effective communication with healthcare teams, prioritizing urgent cases, and utilizing workflow management tools can help specialists stay efficient and reduce errors. Continuous training and staying updated with payer requirements also help overcome these common challenges.

What is the difference between Utilization Management Intake Specialist vs Utilization Review Coordinator?

AspectUtilization Management Intake SpecialistUtilization Review Coordinator
CertificationsTypically requires healthcare-related certifications (e.g., CPC, RHIT)Often requires similar certifications, with additional focus on review processes
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsHospitals, insurance companies, or healthcare providers
Primary ResponsibilitiesInitial patient data collection, verifying insurance, and scheduling reviewsReviewing medical records, making coverage decisions, and ensuring compliance

Both roles involve healthcare and insurance knowledge, but the Utilization Management Intake Specialist focuses on intake and data collection, while the Utilization Review Coordinator handles detailed case reviews and decision-making processes.

What cities in Virginia are hiring for Utilization Management Intake Specialist jobs?

Cities in Virginia with the most Utilization Management Intake Specialist job openings:

Infographic showing various Utilization Management Intake Specialist job openings in Virginia as of August 2026, with employment types broken down into 89% Full Time, 7% Part Time, and 4% Contract. Highlights an 86% In-person, 4% Hybrid, and 10% Remote job distribution.

Acute Intake Specialist

Fishersville, VA • On-site

Lucas James Talent Partners
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Lucas James Talent Partnersexternal

$17.20 - $20/hr

Full-time

Posted 15 days ago

Job description

Join Our Team

At Valley Vital Care, we're committed to delivering exceptional infusion and specialty pharmacy services while providing an outstanding patient experience. We're looking for detail-oriented, customer-focused Intake Specialists to help ensure every patient's journey begins with a seamless referral process.

Whether you're starting your healthcare administrative career or you're an experienced intake professional, we offer opportunities to learn, grow, and make a meaningful impact every day.

Position Summary

The Intake Specialist serves as the front door of the patient journey by transforming referrals into clean, complete, and ready-to-treat patient starts. This role partners closely with provider offices, pharmacy, authorization teams, and patient care coordinators to ensure referrals move efficiently while maintaining accuracy and compliance.

What You'll Do

  • Process incoming patient referrals accurately and efficiently
  • Enter patient demographics and referral information into company systems
  • Review referrals for completeness and obtain missing documentation
  • Register new patients and create therapy records
  • Communicate with physician offices regarding referral requirements
  • Coordinate referrals with pharmacy, benefits, and authorization teams
  • Track referral-to-start timelines and proactively remove delays
  • Maintain accurate documentation and patient records
  • Escalate complex or incomplete referrals appropriately
  • Deliver outstanding customer service to patients, providers, and internal teams

Qualifications

Intake Specialist I

  • High School Diploma or GED
  • 0–1 year of healthcare, referral, intake, medical office, or administrative experience
  • Strong computer and data entry skills
  • Excellent verbal and written communication
  • Detail-oriented with strong organizational skills

Intake Specialist II

  • 1–3 years of healthcare intake or referral coordination experience
  • Experience working with physician referrals
  • Ability to independently manage referral workflows
  • Strong documentation and provider communication skills
  • Infusion, specialty pharmacy, or biologics experience preferred

Intake Specialist III

  • 3+ years of healthcare intake, referral management, or specialty pharmacy experience
  • Experience training or mentoring team members
  • Demonstrated process improvement and quality leadership
  • Advanced knowledge of referral management and patient onboarding

Preferred Qualifications

  • Healthcare intake experience
  • Referral coordination
  • Medical terminology
  • Electronic Medical Records (EMR/EHR)
  • Prior authorization knowledge
  • Specialty pharmacy or infusion experience
  • Insurance verification
  • Patient registration
  • Provider relations
  • Excellent customer service skills
  • Strong multitasking and organizational abilities

Why Valley Vital Care?

  •  Competitive compensation
  •  Performance bonus opportunities
  •  Comprehensive benefits package
  •  Career advancement opportunities
  •  Collaborative and supportive team environment
  •  Ongoing training and professional development
  •  Opportunity to make a meaningful impact on patients' lives every day

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