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Medical Management Coordinator Jobs
Company | Doctors HealthCare Plans, Inc. |
Address | Coral Gables, FL, United States |
Employment type | FULL_TIME |
Salary | |
Category | Internet Publishing |
Expires | 2023-09-18 |
Posted at | 8 months ago |
Responsibilities:
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
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- Extract and review fax requests for medical or clinical services requests.
- Reference tools to research relevant rules, regulations or procedures.
- Gather information to understand requests based on urgency.
- Point of contact for providers regarding medical/behavioral/clinical services or benefits. Including (e-g notification, authorization).
- Follow protocols to task requests appropriately by checking procedure codes against notification requirements and benefit coverage to determine next steps.
- Determine whether authorizations are required for requested medical services.
- Receive calls requesting medical/clinical services or benefits information, respond to and transfer calls to appropriate individuals, warm transfer if applicable.
- Take calls and questions from providers regarding case status and provide/explain authorization information to providers.
- Enter requests to relevant system as needed.
- Bilingual: English/Spanish preferred
- Proficient with computers
- Excellent organizational skills
- 2 years + experience preferred
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
Powered by JazzHR
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