May 14, 2019
Orlando, FL, USA
Product and Program Management
Ref ID: 01977121
Classification: Administrative - Medical
Compensation: $15.00 to $18.00 per hour
OfficeTeam is seeking a Program Coordinator to support the Case Managers with administrative duties. Summary: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Job 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 member?s 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. Produces and mails routine CM letters and program educational material. Data enter assessments and authorizations into the system. 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
Assist Customers, Basic Medical Terminology, Prior Authorizations, MS Office
OfficeTeam is the world's leader in professional staffing for office support jobs, focusing exclusively on the temporary and temporary-to-full-time placement of professionals in the administrative field. We are faster at finding you work because of the depth of our client network. Specifically, our professional staffing managers connect with thousands of hiring managers in North America every week to find your office support job opportunities. We evaluate all of our OfficeTeam temporaries' skills and match them with the needs of top employers in their area.
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