Job Description
Employer Industry: Healthcare Services Why consider this job opportunity: Opportunity for career advancement and growth within the organization Supportive and collaborative work environment Chance to make a positive impact on member care and departmental functions Engaging role that involves direct communication with provider offices Involvement in various aspects of medical utilization and care coordination What to Expect (Job Responsibilities): Contact provider offices for additional referral details and research member eligibility Document all admissions and referrals, maintaining accurate logs and forms Assist with efficient communication between team personnel and providers Maintain and update daily inpatient census and manage incoming fax and authorization requests Perform data entry of various medical requests including hospital admissions, office visits, and medical injectables What is Required (Qualifications): High School diploma required; Associate's degree preferred At least 1 year of experience in a managed care, medical, or customer service environment Proficiency in Microsoft Office Suite and database software Must be able to multitask effectively Availability for rotating weekend and holiday coverage How to Stand Out (Preferred Qualifications): Knowledge of medical terminology Medicaid experience Strong organizational skills Ability to work well under pressure Experience in a fast-paced healthcare environment J-18808-Ljbffr