Contract Duration: 3 months with strong potential to extend
Pay Rate: $21.15
Location: Remote - Must be local to Atlanta, GA 30339 (there will be occasional onsite meetings)
Work Hours: 8am - 5pm EST or 8:30 CST- 5:30pm EST
Qualifications/Skills Needed
Customer Service
Call Center (Inbound/Outbound)
2-3 years managed care setting experience (MUST) medical office
Facility setting with medical administrative duties.
Excellent verbal and communication skills, critical thinker
Able to plan, organize and prioritize work, retain information, self-starter.
Ability to work independently and cohesively as a team and agility.
Microsoft Office, Outlook, and Teams
High School Diploma or equivalent
Day To Day Responsibilities Of Role
Program Coordinators assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Candidates selected for this position will screen for eligibility and benefits (CM/DM services) as well as identify members without a PCP/Specialist and assist with scheduling appointments.
Also, perform transition of care duties to include but not limited to, contact the member’s attending physician, member, home health agencies, equipment vendors for information pertaining to special needs and receive calls on behalf of the Care Management department.
Program Coordinators impact our members by being the face of the Care Management team and ensuring members are routed to the applicable integrated care teams based on the member’s individual medical and psychosocial needs identified during calls and health screenings. This position impacts providers as it relates to identifying CM needs, as these needs are identified the CM is able to work with the members providers to with a Care Plan to assist them with their needs.
Performance Expectations
Login to phone queue, receive/make calls, screen members for CM services and process other referrals received from various sources inside and outside of the organization.
Inbound and outbound calling will vary depending on work volume.
Intake and assessing member’s health via health questions on a health form or telephonic and electronic health form.
Seniority level
Entry level
Employment type
Contract
Job function
Administrative
Industries
Mental Health Care, Wellness and Fitness Services, and Hospitals and Health Care
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