The right talent can transform your business—and we make that happen. At Collabera, we go beyond staffing to deliver strategic workforce solutions that drive growth, innovation, and agility. With deep industry expertise, a global talent network, and a people-first approach, we connect you with professionals who don’t just fit the role but elevate your business. Partner with us and build a workforce that powers success.
Managed Care Coordinator
Contract: Pennington, New Jersey, US
Salary Range: 18.00 - 19.00 | Per Hour
Job Code: 334644
End Date: 2023-06-04
Job Status: Expired
This Job is no longer accepting applications
Roles and Responsibilities:
- 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
Required Skills:
- Requires knowledge of medical terminology.
- Prefer knowledge of contracts, enrollment, billing & claims coding/processing. Prefer knowledge of Managed Care principles.
- 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
Job Requirement
- Medical Assistant
- Admin
- Medical coordinator
- Receptionist
- Healthcare
- Insurance coordinator
- Insurance
- Administrative assistant
- Office clerk
- Office admin
- Billing specialist
Reach Out to a Recruiter
- Recruiter
- Phone
- Divyani Balone
- divyani.balone@collabera.com
This Job is no longer accepting applications
Apply Now
