Job Description

Job Title: Associate Patient Care Coordinator

Location: REMOTE(work from home)

Contract: 4 months + Possible Contract extensions

Shift: M-F 8a-5p

Description:

Responsibilities:

• Processing incoming referrals, making outbound calls to providers to gather info, prepping referrals, doing Benefit investigations, answering phone calls.
• Work together with corresponding coordinators to verify, check and review authorizations submitted by providers in and out of network.
• Comply with regulations associated with HIPAA to clarify member identification and obtain information pertaining to authorization criteria by calling providers for notes/clarification.
• Assist providers with updating and checking status of member authorizations through inbound calls; as well as review provider requests to contest Medical Director reviews.
• Additionally, coordinators will be responsible for entering hard copies faxed by providers and determining changes to authorizations by in house staff via our inbox, reviewed daily.
• Staff will need to be comfortable contacting providers, patients and staff members for authorization approvals, denials, and the like.

What software skills are needed? Outlook, word, excel

What are the hours? ( Training hours ?) 8-5 Monday through Friday

Will you be interviewing (face to face or phone ) Phone Meetings

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