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Healthcare- Claims Processing

A-Line Staffing Solutions

This is a Full-time position in Corpus Christi, TX posted July 31, 2021.

Full time Healthcare Program Coordinator openings in the Austin area with a major healthcare company!

Starting ASAP!!

Apply now to Courtney Parato for consideration!

PAY RATE : 16.00hr

HOURS: Full Time 40 hours per week
– Monday through Friday
– 8:00am-5:00pm

Initiate authorization requests for output or input services in keeping with the prior authorization list.

Research claims inquiry specific to the department and responsibility.

Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.

Assess and monitor inpatient census.

Screen for eligibility and benefits.

Identify members without a PCP and refer to Member Services.

Screen members by priority for case management (CM) assessment.

Perform transition of care duties to include but not limited to, contact the members attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.

Coordinate services with community based organizations.

Attend marketing and outreach meetings as directed to represent the plan.

Produces and mails routine CM letters and program educational material.

Data enter assessments and authorizations into the system.

Job Requirements:

High school diploma or equivalent.

2-3 years managed care or physicians office experience.

Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment.

Operation of office equipment such as a personal computer.

Knowledge of medical terminology.

Why Apply: Company Benefits!
Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability 401k after 1 year of employment: With employer match and profit sharing GREAT Hours!

Full-Time Monday through Friday, 40 hours per week
– Overtime available paying time and a half over 40 hours worked.

Competitive Pay Rate!

With possible pay increases after 90 days of employment.

We are looking to fill these positions A.S.A.P.

Please contact Courtney Parato if you are interested in this position.

Courtney ParatoA-Line Staffing

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