Utilization and Disease Management Coordinator - Census Management
4 days ago
🇺🇸 United States – Remote
🐊 Florida – Remote
🌪️ Kansas – Remote
+3 more states
💵 $40k - $52.3k / year
⏰ Full Time
🟢 Junior
🖥️ Administration
Description
• Provides non-clinical support for policies and procedures • Ensures best treatment, care, or services for members • Attaches faxes for chart reviews for the nursing team • Answers departmental phones as assigned • Makes outbound calls to engage providers • Documents calls and attaches clinical information received • Requests clinical information from providers/facilities • Creates and sends out written correspondence • Collaborates with multiple roles/departments
Requirements
• 1 or more years healthcare administrative or technical support experience • Current or past HMO Experience • Excellent verbal and written communication skills • Working knowledge of MS Office including Word, Excel, and Outlook • Proficient utilizing electronic medical record and documentation programs (preferred) • Proficient experience with medical terminology and/or ICD-10 codes (preferred) • Bachelor’s degree in Business, Finance or a related field (preferred) • Prior member service or customer service telephone experience desired (preferred) • Experience with Utilization Review and/or Prior Authorization (preferred)
Benefits
• Health benefits effective day 1 • Paid time off, holidays, volunteer time and jury duty pay • Recognition pay • 401(k) retirement savings plan with employer match • Tuition assistance • Scholarships for eligible dependents • Parental and caregiver leave • Employee charity matching program • Network Resource Groups (NRGs) • Career development opportunities
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