Randstad General Staffing Hiring for Bilingual Program Coordinator – Medical Management at Remote Full Time

Are you looking to use your skills in a new Program Coordinator position? This client is HIRING NOW! The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position will possess a High school diploma or equivalent, Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer, Knowledge of medical terminology and 0-2 years of experience in a related industry! The client is looking for a candidate that is able to speak multiple languages! If this position interests you, apply today!

salary: $24.75 – $24.75 per hour
shift: First
work hours: 8 AM – 5 PM
education: High` School

Responsibilities

• 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 member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.

Skills

• Program Coordinator
• Answering Phones

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

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