Associate Clinical Administrative Coordinator at The Judge Group Inc. in Boston, Massachusetts

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 Apply Now