Workflow Specialist (Entry-Level)
The Workflow Specialist is an entry-level role responsible for reviewing healthcare claims for accuracy, managing customer inquiries, and ensuring quality and performance metrics are met. This position requires strong communication and customer service skills to support members, brokers, and providers, working in a hybrid schedule with both on-site and remote days.
About Careertakes
👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, a healthcare organization.
Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.
Overview
This entry-level Workflow Specialist role supports a confidential client (a healthcare organization) on a contract-to-hire basis. The position is full-time, Monday–Friday, with a hybrid schedule after training (3 days on-site in King of Prussia, PA / 2 days remote). Pay range: $18–$20 per hour.
What You’ll Do
- Review incoming claims for accuracy and completeness
- Update and maintain contact and claim records in internal systems
- Respond to member, broker, and provider inquiries via phone and email
- Reach out to medical offices to request missing information
- Send validated claims for processing
- Manage email and telephone requests for medical assistance services
- Track and meet quality metrics, queue performance, and other departmental KPIs
- Communicate workload status and any issues to your supervisor
Qualifications
- Bachelor’s degree completed within the past 1–2 years
- 0–2 years of customer service or data entry experience (service, retail, or healthcare environments preferred)
- Excellent verbal and written communication skills; professional phone demeanor
- Strong customer-service orientation and attention to detail
- Ability to follow procedures, document work clearly, and escalate issues appropriately
Compensation & Additional Details
- Salary Range: $18.00 – $20.00 per hour
- Assignment: Contract to Hire
- Location: King of Prussia, PA 19406 — Hybrid (3 days on-site / 2 days remote after training)
- Hours: Monday–Friday, 8:30 AM – 5:00 PM
- Travel: No regular travel required (unless requested by the client)
Physical & Other Requirements
This role may require sitting or standing for extended periods and regular use of a computer and telephone. Reasonable accommodations are available for qualified applicants with disabilities—please request them during the hiring process.
Benefits
Benefits may include access to health insurance, sick leave, and 401(k) as provided by the hiring client. Specific benefit eligibility and timing will be communicated by the employer.
Inclusion & Candidate Privacy
Careertakes and our client are committed to an inclusive workplace. All qualified applicants will receive consideration without regard to characteristics protected by applicable law. Personal information collected during the hiring process will be used to evaluate candidacy and will be handled according to applicable privacy laws.
Equal Opportunity & Hiring Transparency
Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.
If you have questions about how your data is used, please contact us directly.
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