Associate Clinical Administrative Coordinator at The Judge Group Inc. in New York, New York

Posted in Other 2 days ago.





Job Description:

Location: REMOTE

Salary: $17.00 USD Hourly - $18.75 USD Hourly

Description: Our client is currently seeking a Associate Clinical Administrative Coordinator to join their team!



Scope of Role:



Location: Remote - Must reside in CA


Hours: 8am to 5pm (possible weekends)


Job Engagement: Contract


This job will have the following responsibilities:

  • Adheres to the standardized documentation requirements for carve out and benefit notices


  • Works with patient services regarding member concerns.


  • Acts as a resource to other coordinators, staff and providers by resolving issues and responding to requests in a timely and effective manner.


  • Processes appropriate authorizations for HMO / PPO clients as specified in the organization's procedures.


  • Directs providers and members to contracted provider network and facilities.


  • Documents members' service benefits by contacting the appropriate health plans.

Qualifications & Requirements:
  • High School Diploma or GED

  • 1 year of experience performing non-clinical functions for prospective UM review.


Preferred:




  • 1 year of experience providing supportive or direct functions for adverse determinations


  • 2 years referrals management or related experience.


  • 3 to 5 years of experience in a health care setting.




Interested? Send your updated resume to Emily Hartzell at Ehartzell@jujdge.com for immediate consideration!



Contact: ehartzell@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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