Call Center Program Coordinator

Robinson, PA

Posted: 03/05/2019 Category: Healthcare Job Number: 25457

Healthcare Program Coordinator - Call Center Representative needed for a very large healthcare organization, located near the Robinson, PA area

Pay Rate: $18 per hour

Hours: 40hrs per week, Monday -Friday 8am-5pm

Job Description:.
  • Assign new participants to the Service Coordination team following policies and procedures
  • Maintain appropriate records, files, and documentation. Distribute emails and faxes to providers
  • Enter new and modifications to authorizations into systems
  • Perform tasks necessary to promote participant compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.
  • Screen for eligibility and benefits. Screen members by priority for assessment and refer to appropriate team following established workflows
  • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produce and mail routine letters and program educational materials
  • Provide support through inbound and outbound calls. Triage, adjust, or escalate requests to management
  • Provide non-medical administrative support to service coordination and case management team.

Required:
  • Education/Experience: High school diploma or equivalent.
  • 1-2 years managed care or physician’ s office experience.
  • Knowledge of medical terminology.
  • Insurance Verification and Prior Authorizations experience

Please apply directly for consideration or Email resume to dsroka@alinestaffing.com or Text 872-356-2305 - Damian Sroka

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