Assc patient care coord/22/hcd120 - united states, minneapolis
assc patient care coord/22/hcd120
job description:
job responsibilities
as part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. you'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. bring your skills and talents to a role where you'll have a chance to make an impact.
positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. this function includes intake, notification and census roles.
primary responsibilities
• manage administrative intake of members
• work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
• assist the clinical staff with setting up documents/triage cases for clinical coverage review
• handle resolution/inquiries from members and/or providers
this is high volume, customer service environment. you'll need to be efficient, productive and thorough dealing with our members over the phone. you also must be able to work a flexible schedule that includes evening hours.
job qualification;
required qualifications
• hs diploma or ged
• 2+ years of customer service experience
• experience with ms word, excel and outlook
preferred qualifications
• experience working within the health care industry and with health care insurance
• experience working in a hospital, physician's office or medical clinic setting
• a clerical or administrative support background
• knowledge of icd-9 and cpt codes
• experience working in a call center
what are the hours? ( training hours?) 9-6; training, 8-5)
interviews are conducted over the phone
worksite location - remote, all need to be in anywhere texas
please apply directly or email monica.walters@adeccona.com
equal opportunity employer/veterans/disabled
the company will consider qualified applicants with arrest and conviction records
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