Care Management Support Coordinator

Immediate need for a talented Care Management Support Coordinator. This is a 06 Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-94200

Pay Range: $22 - $23/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Peer to peer phone scheduling team taking LIVE calls from providers that have received a denial for an authorization.
• The purpose of a p2p is for the provider and our internal MD to have a conversation to see if additional information can be obtained to support medical necessity and overturn a denial.
• The work environment is fast-paced and remote with a large emphasis on customer service, research, and problem-solving skills.
• Breaks and lunches are schedule due to working in a live phone queue call center environment.
• Scheduler will take 30 live p2p requests via a phone queue (Inbound mainly but also some outbound), schedule via Outlook invite and create a TruCare task, and enter a TC note for each call.
• Performance indicators: Avg call handle time 7.5 min, avg hold time 1.5 min, calls are audited for quality, 90% service levels
• Ability to work from home, fast paced work environment, working cross-functionally with MD and clinical team., improving provider experience, and helping ensure that members receive needed services.

Key Requirements and Technology Experience:

• Skills-2 - 4 years of medical call center experience
• Fast typing Speed
• Call center experience/ability to multitask
• Healthcare background
• Fast Typing (50 WPM preferred)

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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