Dean’s Professional Services is now hiring a qualified, patient-care-focused Program Coordinator to work for a Hospital Facility in Dallas, TX . Remote

We are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities!

A Program Coordinator is responsible for assisting activities related to the medical and psychosocial aspects of utilization and coordinated care.

Job 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, and 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, contacting the member’s attending physician, member or medical power of attorney, and other medical providers (home health agencies, equipment vendors) for information about special needs.
• 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 entry assessments and authorizations into the system.
• Follow-up calls to members.
• Any other projects that may arise

Job Requirements:

• MUST RESIDE IN DALLAS, TX
• High school diploma or equivalent. Required
• 2-3 years managed care setting, medical office, or facility setting with demonstration of medical administration duties.– Required
• Bilingual in English/Spanish - Preferred
• Previous MCO experience - Preferred
• Thorough knowledge of customer service, utilization review, or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. - Required
• Knowledge of medical terminology. – Required
• Medical Assistant background – Required
• Clinical setting experience such as hospital, MD office, etc. – Required
• Microsoft Outlook, Microsoft Teams, Zoom, Microsoft Word, Microsoft Excel, SharePoint, Internet– Required

Job Details:

• M-F 8 am – 5 pm (subject to change depending on business needs) Possibly with 2 hrs a day of overtime according to business needs.
• $18.50/hr benefits
• Full benefits – healthcare, dental, vision, 401k program.
• Temp-to-Hire opportunity.
• Outpatient facility

Dean’s Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information please visitwww.deansprofessionalservices.com.