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; EST). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-65427
 
Pay Range: $22 - $24/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: 

• Shift: 8:00am – 5:00pm (EST), 10:00am-7:00 pm (EST), 11:00am -8:00pm (EST)
• Needed for peer-to-peer scheduling.
• Works hard to collaborate with our internal medical director and clinical nursing to get peer to peer schedules to get authorizations approved for member svcs being requested
• Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services.
• Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
• Backfilling two temps, Cami Lambert & Arjumand Mirza, that are no longer with the team
• Needed for high call volume to fulfill service levels
• Possibly, later in the year by September (TBD)
• In a live call que while navigating multiple systems scheduling peer to peer requests for our internal medical providers.
• All communications levels (Teams chats, emails, etc)
• Fast paced w/ high call volume; fluent process with how to get requests completed, cooperative, collaborative with leaders highly involved with processes
• Assisting providers and members getting authorizations overturned.
• Works hard to collaborate with our internal medical director and clinical nursing to get peer to peer schedules to get authorizations approved for member svcs being requested
• In comparison to other teams/LOBS/markets we are very competitive
• Would gain self-confidence in overall communication w/ internal team and members, how to navigate through systems, as well as gaining experience with quickly adapting to change with the processes

 
Key Requirements and Technology Experience: 

• Key skills; Call center experience, Medical Insurance experience, Customer service, Problem solving skills.
• Call center experience, Medical Insurance experience, Customer service, Problem solving skills.
• Trucare experience and phone system experience
• Performance indicators: Average handle time, Average hold time 
• Customer Service
• Medical Insurance
• Communication skills
• Must have great organizational skills and easily coachable
• Education/Certification: Required: HS Diploma

 

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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