What are the responsibilities and job description for the Care Management Support Coordinator II | Authorization position at Pyramid Consulting, Inc?
Job ID:25-63955
Pay Range: $17.50 - $18.50/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- The Centralized Authorization Team consists of the processing of authorizations for LTSS, in which we are now at a 3-4 BD TAT for the processing of LTSS/ SK/SH/MMP authorizations.
- We will utilize project temps/contingent workers to assist with each of these areas as well as cross train them to be able to assist in multiple functions.
- The authorization team continues to experience a high task and authorization volume as the number of VIP providers has increased.
- Outbound calls
- Data Entry
- Processing Authorization.
- Excellent attendance (especially during training) .
- Daily goal will start with 5 authorizations for start then will move to 19 gradually .
- Daily production trackers must be completed and emailed to designated person at the end of your shift .
- Multi-tasking with multiple monitors and applications .
- Utilize work guides and or resources .
- 97% Quality (Audits) .
- 98% Production .
- 0-5% Error Rate .
- IT Call for setup.
- Welcome call for Supervisor.
- Client University Training Courses.
- Shadow mentor via zoom screen share (only if training courses are completed) or New Hire Training.
- Key Skills:Authorizations, claims processing , Outbound Calling , Processing Authorization , Medical terminology.
- 2 years of medical experience in authorizations or claims processing practices in managed care setting.
- Knowledge of customer service, medical terminology, and operation of office equipment.
- Experience working remotely .
- High School Diploma or GED.
- Microsoft Outlook, Microsoft Word, Microsoft Excel, SharePoint, Internet, Microsoft Teams.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Salary : $18 - $19
