
Medical Service Coordinator
24 hours ago
The role of Medical Allied Non Clinical support involves working collaboratively with the clinical team to manage requests for services from members and/or providers.
This includes managing intake, referrals, and case notifications while ensuring compliance with policies and procedures.
Key Responsibilities:- Manage member intake, admission, and discharge information
- Coordinate member requests with hospitals, clinics, and facilities
- Process incoming and outgoing referrals, prior authorizations, and census roles
- Provide triage and care coordination notification cases for non-clinical assessment/intervention
- Handle member inquiries and resolve issues
This is a high-volume customer service environment that requires efficiency, productivity, and thoroughness when interacting with members over the phone. A flexible schedule including evening hours is required.
Required Skills:- High School Diploma or equivalent
- 1+ years of customer service experience with problem-solving skills
- Proficiency in Microsoft Word and Excel
- Able to type and talk simultaneously while navigating multiple screens
- Experience in the healthcare industry, particularly with health insurance
- Knowledge of ICD-9 and CPT codes
- Clerical or administrative support background
Our organization prioritizes diversity, equity, and inclusion while mitigating our impact on the environment and delivering equitable care to address health disparities.
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