What are the responsibilities and job description for the Managed Care Coordinator position at Horizon Blue Cross Blue Shield of New Jersey?
A company is looking for a Managed Care Coordinator I.Key Responsibilities : Review service requests for completeness and collect non-clinical dataPrepare and document cases for clinical review and coordinate with members and providersAssist members with finding providers and resolving issues related to services and appealsRequired Qualifications : High School Diploma / GED required1-2 years of experience in customer service or a medical support role preferredKnowledge of medical terminology is required; Medicaid CM knowledge preferredUnderstanding of managed care principles is preferredAbility to use a personal computer and applicable software is preferred
