Job Description - Medical Management Care Coordinator
Overview
We invite you to come be a part of a growing, cutting-edge health plans department and leading home care
organization with over 130 years in the business. In this role, you’ll be responsible for efficiently handling
authorization/service requests, collaborating across departments to resolve issues promptly, and ensuring effective
and timely delivery of services.
Compensation:
$20.98 - $26.23 Hourly
What We Provide
Referral bonus
opportunities
Generous paid time off (PTO), starting at
20
days
of paid time off
and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and
Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely manner
Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies
Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails
Coordinates with Providers and Members regarding authorization requests and/or activities
Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues
Qualifications
Education:
High School Diploma or equivalent required
Work Experience:
Minimum of two years of experience in a customer service role required
Excellent oral and written communication skills required
Advanced personal computer skills, including Word, Excel or Access required
Utilization Management experience preferred
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