program coordinator - medical management

program coordinator - medical management.

• cypress , california (remote)

• posted 4 days ago

job details

summary

• $20 per hour

• temporary

• high school

• category business and financial operations occupations

• referenceAB_4012828

job details

Are you looking to use your skills in a new Program Coordinator position? One of our top clients is HIRING REMOTELY in the Pacific Time Zone! Education/Experience: High school diploma or equivalent. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology. 0-2 years of experience. If this position interests you, today!

salary: $20 - $20 per hour

shift: First

work hours: 8 AM - 5:30 PM

education: High` School

Responsibilities

• Initiate authorization requests for output or input services in keeping with the prior authorization list.

• Research claims inquiry specific to the department and responsibility.

• Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.

• Assess and monitor inpatient census.

• Screen for eligibility and benefits.

• Identify members without a PCP and refer to Member Services.

• Screen members by priority for case management (CM) assessment.

• Perform transition of care duties to include but not limited to, contact the members attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.

• Coordinate services with community based organizations.

• Attend marketing and outreach meetings as directed to represent the plan.

Skills

• Program Coordinator

• Medical Management

Qualifications

• Years of experience: 2 years

• Experience level: Experienced

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spandana mahankali

• +1 646 710 3262
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• {apply below}

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