LTC Coordinator Job at Yoh, A Day & Zimmermann Company
Great Opportunity for Medical Insurance Long Term Care Coordinator to work remote for an established organization!
Work with the PA, nurses and provider offices to help ensure review of coverage authorization requests for our members.
310-427-0627
Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit https://www.yoh.com/applicants-with-disabilities [1]to contact us if you are an individual with a disability and require accommodation in the application process.
Links:
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[1] https://www.yoh.com/applicants-with-disabilities
#IND-SPG
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Work with the PA, nurses and provider offices to help ensure review of coverage authorization requests for our members.
- The responsibilities of this position include data entry, inbound and outbound telephone contact with providers, maintaining security of Protected Health Information (PHI), and processing authorization approvals that do not require clinical review. You will provide opportunities to contribute to multiple projects and cross-training for Concurrent Review authorization processing contingent upon departmental needs.
- Manage incoming coverage authorization requests, entering them into the authorization software or re-directing them to appropriate entities outside SFHP.
- Process authorization requests using SFHP procedures and electronic resources and refers cases to the Prior Authorization Nurse for medical necessity or benefit review within mandated regulatory timeframes.
- Work with provider, facility and vendor office and delegated group staff to promptly answer questions and resolve issues related to authorizations.
- Maintain accurate documentation of provider calls within authorization records.
- Maintain databases for reporting requirements.
- One year of experience with state and federal insurance programs from a provider or payer setting.
- A Bachelor's degree in Social Sciences, Life Sciences, Business or a related field or equivalent work experience.
- Knowledge of medical terminology and familiarity with diagnosis and service codes (ICD/CPT/HCPCS).
- Experience with health information system applications and Microsoft Office products.
310-427-0627
Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit https://www.yoh.com/applicants-with-disabilities [1]to contact us if you are an individual with a disability and require accommodation in the application process.
Links:
------
[1] https://www.yoh.com/applicants-with-disabilities
#IND-SPG
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.