Kelly Services Westshore branch is currently recruiting for CareCentrix in the Tampa, FL area! CareCentrix is America's leading manager of ancillary care benefits. Established in 1996, CareCentrix manages home nursing, infusion and medical equipment services for more than 10 million people across the country through a network of 4,000 credentialed home care providers. By seamlessly integrating care coordination, provider network management, utilization management, billing and claims processing, CareCentrix enables organizations to reduce costs, increase efficiencies and improve patient care. Positions are 40 hours per week, include short-term, long-term and temporary-to-hire assignments and typically pay between $14 and $15 per hour. Requirements for all positions include: Excellent communication, customer service and problem solving skills
Medical terminology, insurance verification or healthcare experience
(for example, experience working in surgery centers, general practitioner front office or hospital)
Knowledge of basic spreadsheet / word processing / data entry skills both speed and accuracy required
High School Diploma or the equivalent
Position Overviews:
Patient Registration Specialists Responsibilities include: Respond to incoming calls from referral sources/potential patients
Involved in the collection, verification and confirmation of clinical and demographic information
Responsible for providing appropriate issue resolution and escalation when needed
Participate in utilization management and performance improvement activities (specific measurement for contracts)Patient Referral Coordination Specialist Responsibilities include: Receive/respond to incoming calls from referral sources/patients, contacts referral sources to advise them of referral status
Locate the appropriate contracted and then out-of-network provider, if necessary, to provide the requested service for the patient/member when a credentialed provider cannot be located
Negotiate favorable rates with out-of-network provider and document appropriate licensure and accreditation
Communicate with other teams and departments as necessary during the referral process*In addition to the above requirements, candidates must feel comfortable negotiating rates with the provider representatives. Candidates with sales experience may be good fits for this opening. Experience with ICD-9 coding preferred but not required. Eligibility, Benefits and Authorization Specialist Responsibilities include: Respond to incoming/outgoing calls and identify potential payer sources
Request authorization with the payer and provide verification on-line and by phone
Participate in utilization management performance improvement activities (specific measurement for contracts)
Verify and confirm patient insurance, eligibility and benefits including Medicare verification checks
Submit cases to the Patient Advocacy Team (PAT) as needed
Determine who the primary payer is when the member/patient has more than one insurer*In addition to the above requirements, candidates have must have experience with a wide range of healthcare plan options. Experience with Medicare and Medicaid a plus. The healthcare industry is one of the fastest growing segments in today’s job market and the trend is expected to continue well in the future! If you are looking for a career within the exciting healthcare field, one of these positions might be the right fit for you! Please apply today if you are interested in these excellent career opportunities! If you are interested in these opportunities, please click the apply now button. The Westshore office can be reached at 813-289-9452
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About Kelly Services
Kelly Services, Inc. (NASDAQ: KELYA, KELYB) is a world leader in workforce management services and human resources solutions. Kelly offers a comprehensive array of temporary staffing, permanent placement, outsourcing, and consulting services. Kelly serves clients around the globe and provides employment to 650,000 employees annually. Revenue in 2008 was $5.5 billion. Visit www.kellyservices.com
À propos des Services Kelly
Kelly Services, Inc. (NASDAQ: KELYA) (NASDAQ: KELYB) dont le siège mondial est situé à Troy dans l'État du Michigan (États-Unis) est un leader mondial en solutions liées aux ressources humaines comme la dotation de personnel temporaire, l'impartition, la coordination sur place de main-d'œuvre ainsi que le placement permanent chez ses clients, et ce, à l'échelle internationale. Kelly emploie plus de 750 000 personnes chaque année dans des domaines aussi variés que le travail de bureau, la comptabilité, l'ingénierie, les technologies de l'information, les services juridiques, la science, le marketing, les services créatifs, l'industrie légère, l'éducation et les services de santé. Le chiffre d'affaires de Kelly s'élevait à 5,5 milliards de dollars américains en 2008. Consultez notre site www.kellyservices.com.
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