Large managed care company is looking for Patient Care Coordinators to be responsible for initial triage of members, administrative intake of members or managing the admission / discharge.
WORK LOCATION : 15320 Amberly Dr. Suite B, Tampa, FL 33610
PAY : $19.00
CONTRACT DATES : 8 / 11 / 24 - 11 / 11 / 24
HOURS : Mon- Fri 8am-5pm (40 hrs / week) with 1 hour lunch. Can be flexible on work hours between 8am-6pm.
RESPONSIBILITIES
- Determine member eligibility
- Processing Referrals for patients
- Provide / explain benefit information to members / providers
- Obtaining authorizations from the Health Plan
- Schedule appointments for members based on request
- Take calls and questions from members and / or providers regarding case status
- Utilize phone system to respond to and transfer calls to appropriate individuals
- Contacting and coordinating Specialists and patients to set up appointments
- Serve as primary point of contact for providers or members regarding medical / behavioral / clinical services or benefits
- Extract and review fax requests for medical or clinical services
- Receive calls requesting medical / behavioral / clinical services or benefits information (e.g., from providers or members)
- Receive electronic referral form requests for medical / behavioral / clinical services
QUALIFICATIONS
- Highschool / GED or equivalent
- Healthcare EMR experience needed
- Must be able to Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
- Some understanding of the patient referral process helpful but not required, we are willing to train.
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