Patient Care Coordinator
- Manage the intake of members or the admission/discharge information post notification
- Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
- Handle resolution/inquiries from members and/or providers
- High School Diploma/GED (or higher) OR 4+ years of customer service experience
- 1+ years of customer service experience
- Ability to create, edit, save and send documents utilizing Microsoft Word and Excel
- Ability to type and talk at the same time and navigate through multiple screens
- Experience working within the health care Industry and with health care insurance
- A clerical or administrative support background
- Knowledge of ICD-9 and CPT codes
- Experience working with Medicare and/or Medicaid Services
- Call center experience
- Experience working in a metric-driven work environment
- Ability to accurately sort and file materials by alphabetic or numeric systems
- Effective communication and customer service skills
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