Job Description:
Location: REMOTE
Salary: $17.00 USD Hourly - $18.75 USD Hourly
Description: Our client is currently seeking a Associate Clinical Administrative Coordinator to join their team!
Scope of Role:
Location: Remote - Must reside in CA
Hours: 8am to 5pm (possible weekends)
Job Engagement: Contract
This job will have the following responsibilities:
- Adheres to the standardized documentation requirements for carve out and benefit notices
- Works with patient services regarding member concerns.
- Acts as a resource to other coordinators, staff and providers by resolving issues and responding to requests in a timely and effective manner.
- Processes appropriate authorizations for HMO / PPO clients as specified in the organization's procedures.
- Directs providers and members to contracted provider network and facilities.
- Documents members' service benefits by contacting the appropriate health plans.
Qualifications & Requirements: - High School Diploma or GED
- 1 year of experience performing non-clinical functions for prospective UM review.
Preferred:
- 1 year of experience providing supportive or direct functions for adverse determinations
- 2 years referrals management or related experience.
- 3 to 5 years of experience in a health care setting.
Interested? Send your updated resume to Emily Hartzell at Ehartzell@jujdge.com for immediate consideration!
Contact: ehartzell@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
