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Company Contact Info
- Rancho Cordova, CA 95670
- Brittany Moore
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Program Coordinator I
Kelly Services • Rancho Cordova, CA
Posted 1 month ago
Travel - None
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Admin - Clerical
Kelly Services is currently looking for skilled Program Coordinator to work on site for a prestigious Fortune 500 healthcare company located in Sacramento, CA. You will be working in a luxury and professional environment with an abundance of perks. Location: Rancho Cordova, CA Pay Rate: $20/hr Length of Assignment: Six months Start Date: AS soon as your background clears Position Purpose: Assist in activities related to the medical and psycho social aspects of utilization and coordinated care. Job Duties and 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 members attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment 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.
Requirements: 2-3 years managed care or physician's office experience. Thorough knowledge of customer service Utilization review or claims processing practices in a managed care environment a plus Knowledge of medical insurance or eligibility a plus Operation of office equipment such as a personal computer Knowledge of medical terminology Education: High School Diploma
Job ID: US159TBM_27461089
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