Managed Care Coordinator
Contracter: Pennington, New Jersey, États-Unis
Salaire : 19.00 USD par heure
Code du travail: 334644
Date de fin: 2023-06-04
Statut d'emploi: Expiré
Cet emploi n'accepte plus de candidatures
Rôles et responsabilités:
- Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients.
- Handles initial screening for pre-certification requests from physicians/members via incoming calls or correspondence based on scripts and workflows, and under the oversight of clinical staff.
- Prepare, document, and route cases in the appropriate system for clinical review.
- Initiates callbacks and correspondence to members and providers to coordinate and clarify benefits.
- Upon completion of inquiries initiate a call back or correspondence to Physicians/Members to coordinate/clarify case completion.
- Reviewing professional medical/claim policy-related issues or claims in pending status. Collection of clinical and non-clinical information, MCC can authorize services based upon scripts or algorithms used for pre-review screening
Compétences requises:
- Requires knowledge of medical terminology.
- Prefer knowledge of contracts, enrollment, billing & claims coding/processing. Prefer knowledge of Géré Care principes.
- Prefer 1-2 years of customer service or a medical support-related position.
- Prefer the ability to use a personal computer and applicable software and systems.
- Prefer the ability to analyze and resolve problems with minimal supervision.
- Prefer knowledge of contracts, enrollment, billing & claims coding/processing
Exigence d'emploi
- Assistant Médical
- Administrateur
- Coordinateur médical
- Réceptionniste
- Système de santé
- Coordinateur d'assurance
- Assurance
- Assistant administratif
- Commis de bureau
- Office Admin
- Spécialiste de la facturation
Contactez un recruteur
- Recruteur
- Téléphone
- Divyani Balone
- divyani.balone@collabera.com
Cet emploi n'accepte plus de candidatures
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