
Professional Case Manager
3 days ago
We are seeking a skilled Professional to manage Healthcare cases.
About the Role- The ideal candidate will have experience in Authorization and Case Management.
- Analyze member clinical records.
- Process Initial or Pre-Authorization via Phone or via Email.
- Respond to provider requests.
- Communicate to insurance providers for authorization determination.
- Verify members benefits.
- Manage healthcare cases.
- At least 1 year experience in Healthcare BPO.
- Familiar with Medicare Part B.
- Excellent verbal and written English skills.
- Able to work night shift.
- Competitive salary and benefits.
- Health Insurance with free dependents.*
- Night differential.
- Attendance Bonus.
- Paid time off.
- Cash leave credits.
- Performance Appraisal.
- Work-life balance.
- Opportunities for career growth.
- We foster an inclusive environment where everyone thrives.
- We encourage continuous learning and innovation.
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