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SalaryOverview:
Responsibilities:
#IDCC
As a Coordinator- Transitions & Authorization Resolution, you will serve as a first point of contact for patients needing home healthcare services. You will be responsible for receiving and responding to incoming calls from providers, referral sources and potential patients by collecting and entering clinical and demographic information into our CareCentrix portal. You will assist and complete activities related to transition function that include but are not limited to; Patient Registration, Eligibility/Benefit Verification, and Staffing coordination while also participating in special projects working under general direction.
Responsibilities:
- Assists Transition department leadership in all assigned activities specific to the Member Transition Process for all new client installs and new groups to existing clients.
- A key contributor to Trans App testing, insuring all aspects of the application meets expectations prior to any go-live transition activities.
- Successfully fulfills work assignments with accuracy and timeliness on a day to day basis for activities related to member transitions; to ensure member, provider and health plan satisfaction.
- Communicates with applicable leaders any barriers to transition activities and partners with team members to ensure successful transition activities are maintained.
- Assists and completes activities related to transition function that include but are not limited to; Patient Registration, Eligibility/Benefit Verification, and Staffing coordination.
- Requires a HS diploma or equivalent; up to 1 year of previous related experience; or any combination of education and experience, which would provide an equivalent background.
- Two to five years' experience in the managed healthcare service industry, with a focus on client management, customer service, and operations.
- Good knowledge of the insurance/managed care/reimbursement and customer service industry is required.
- This position requires the ability to function in a fast paced environment with high volume work output, ability to multi-task and prioritize work load to meet client needs is critical.
- Excellent communication (verbal/written), problem resolution, and interpersonal skills are essential.
- Must be detail oriented, be responsive, and demonstrate independent thought and critical thinking.
- Must be able to successfully work from home where appropriate and needed.
What we offer:
- Starting Pay for external hires is $17.50/ per hour + Monthly Incentive Bonus Opportunity. The pay range included in this posting reflects future growth / earning potential.
- Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match
- Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more
- Advancement Opportunities, professional skills training, and tuition /exam reimbursement
- PayActiv - access earned income in between pay checks
- Walgreens Discount - receive up to 25% off eligible items
- Great culture with a sense of community
CareCentrix maintains a drug-free workplace
#IDCC
We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.
