Intake Specialist

Location: Remote (U.S.)

Preferred Location: Candidates based in or near Beachwood, OH are strongly preferred.

Reports To: Revenue Cycle Manager

Lucas James Talent Partners is partnering with Phothera, a Madison Medical company within Madison Industries, on a direct hire opportunity for an RCM Intake Specialist.

This is a remote patient access and revenue cycle role focused on prescription intake, prior authorizations, payer navigation, and helping patients gain timely access to medically appropriate phototherapy treatment.

The ideal candidate brings experience working with insurance authorizations, medical policies, benefit verification, and provider communication while thriving in a fast-paced healthcare environment.

This individual will play an important role in supporting patients, providers, and internal commercial teams throughout the reimbursement process.

About Phothera

Phothera is part of Madison Medical, the healthcare and life sciences platform of Madison Industries, a global organization focused on building and scaling market-leading businesses.

Phothera is advancing phototherapy to improve outcomes for patients living with chronic skin conditions including psoriasis, eczema, and vitiligo. Their solutions provide a safe, effective, and cost-efficient alternative to traditional therapies, allowing patients to receive treatment from the comfort of their own home under the supervision of their healthcare provider.

As the organization continues to grow, Phothera is investing in expanding patient access, strengthening reimbursement support, and building a best-in-class Revenue Cycle team. The RCM Intake Specialist will play an important role in ensuring patients receive timely access to care while delivering an exceptional experience for providers and internal business partners.

The Opportunity

Phothera is seeking an RCM Intake Specialist to support the front end of the patient reimbursement journey.

This position goes beyond traditional medical intake by combining patient access, payer navigation, benefit verification, prior authorization management, and reimbursement support to help patients receive timely access to prescribed therapy.

Success in this position requires someone who understands how insurance requirements impact patient access, can quickly interpret payer expectations, and enjoys solving problems while delivering outstanding customer service. This individual is expected to take ownership of assigned patient cases, proactively identifying and resolving reimbursement barriers while independently driving cases toward timely resolution.

The ideal candidate combines strong healthcare administrative experience with payer knowledge, organization, critical thinking, and excellent communication skills.

While the role is fully remote, candidates located in or near Beachwood, Ohio will receive strong preference.

Key Responsibilities

Patient Intake & Prescription Management

• Receive, review, and process patient prescriptions for completeness and accuracy
• Communicate with physician offices to obtain missing clinical or demographic information
• Maintain accurate patient and provider documentation within Salesforce and other internal systems
• Own assigned patient intake cases while ensuring timely progression through the reimbursement process.

Prior Authorization & Payer Navigation

• Perform insurance benefit verification and eligibility reviews
• Review payer medical policies and authorization requirements
• Prepare, submit, and monitor prior authorization requests
• Follow up with commercial and government payers to obtain authorization decisions
• Identify missing documentation needed to support authorization requests
• Maintain organized workflows to ensure authorizations and patient cases remain on track

Provider & Internal Collaboration

• Partner closely with physician offices, provider staff, and internal sales representatives
• Serve as a trusted resource regarding authorization requirements and patient case status
• Deliver professional, timely communication while managing multiple priorities
• Build strong relationships that contribute to an exceptional customer experience

Process Improvement

• Identify opportunities to improve intake workflows and patient access
• Maintain accurate documentation and reporting throughout the authorization process
• Contribute ideas that improve operational efficiency and patient satisfaction
• Support continuous improvement initiatives across the Revenue Cycle organization

The Profile

We are seeking a healthcare professional who enjoys navigating payer requirements while helping patients access medically appropriate treatment.

Successful candidates are likely to come from patient access, prior authorization, benefits verification, specialty pharmacy, DME, radiology, imaging, dermatology, medical billing, or revenue cycle environments.

The ideal candidate is:

Patient Access Focused

• Motivated by helping patients receive timely access to prescribed therapies

Knowledgeable in Insurance & Authorizations

• Understands payer requirements, prior authorizations, benefit verification, and medical policies

Organized & Detail-Oriented

• Able to manage multiple patient cases while maintaining accuracy and meeting deadlines

Professional Communicator

• Comfortable interacting with providers, physician offices, patients, sales teams, and internal stakeholders

Resilient & Solutions-Oriented

• Thrives in a fast-paced environment, remains positive under pressure, and enjoys solving complex reimbursement challenges

Compensation & Benefits

Compensation: $21.00-$28.00 per hour

Additional offerings include:

• Comprehensive healthcare benefits
• Fully remote work environment
• Career growth opportunities within Revenue Cycle, Customer Service, Finance, and Commercial Operations
• Opportunity to join a rapidly growing healthcare organization focused on improving patient outcomes and expanding access to care

Qualifications

Required

• Bachelor's degree in Business, Healthcare Administration, Health Information Management, Finance, or a related field, or 5+ years of progressive experience in healthcare revenue cycle, patient access, or intake operations, including insurance verification, benefits verification, prior authorizations, reimbursement, medical billing, or related healthcare administrative functions. Equivalent combinations of education and experience will be considered.
• Experience working with commercial and/or government insurance payers
• Experience performing benefit verification, authorization support, or payer communication
• Strong organizational skills with the ability to manage multiple priorities simultaneously
• Excellent written and verbal communication skills
• Proficiency with Microsoft Office and healthcare business systems
• Ability to work independently in a remote environment

Preferred

• Candidates based in or near Beachwood, OH strongly preferred
• Experience with prior authorizations, pre-certification, or medical policy review
• Experience supporting specialty pharmacy, infusion therapy, dermatology, DME, home health, or other specialty healthcare environments preferred.
• Experience using Salesforce or comparable CRM and healthcare software platforms
• Knowledge of Medicare and major commercial payers including UnitedHealthcare, Aetna, Cigna, Anthem, and Blue Cross Blue Shield

What Success Looks Like

Success in this role will be measured by timely patient intake, authorization turnaround times, provider satisfaction, and helping patients access prescribed therapy efficiently.

Top performers will:

• Quickly become proficient in Phothera's products, workflows, and reimbursement processes
• Independently manage a high-volume patient intake and authorization workload
• Build trusted relationships with providers, internal sales teams, and patients
• Identify opportunities to improve workflows and patient access
• Contribute to the continued growth and excellence of Phothera's Revenue Cycle organization

Equal Opportunity Employer

Phothera is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, age, or any other status protected by applicable federal, state, or local law.