This range is provided by Green Key Resources. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$18.00/hr - $19.00/hr
Responsibilities
Receives and reviews medical documentation and verifies documents are thorough and complete. Provides outreach to medical offices and sends fax communications as needed.
Coordinates completion of authorization for UAS Assessments with vendors and ensures regulatory requirements are met.
Participates in planning activities with Case Management Team to ensure services are in place and communicates with vendors to problem solve issues causing barriers in services.
Organizes administrative processes to expedite approvals for membership in caseload.
Provides appropriate follow up for submission of necessary documentation to authorize services. Follows up with vendors, members and case managers as needed.
Has strong working knowledge of regulatory standards and compliance requirements regarding Long Term Services and Supports.
Manages the LTSS phone queue while handling multiple assignments simultaneously.
Requirements
Two years administrative office experience required.
Two years' experience in Healthcare, health insurance or managed care strongly preferred.
Strong interpersonal skills to communicate with members, providers and cross- departmental teams.
Demonstrated knowledge of Microsoft Suite including Outlook, Word, Excel, SharePoint and Teams.
Excellent verbal and written communication skills.
Detail oriented with strong organizational and time management skills.
Ability to work independently and prioritize multiple assignments.