What are the responsibilities and job description for the Managed Care Coordinator | Hopewell, NJ | Hybrid | Contract position at Walker Healthforce?
Job Details
Managed Care Coordinator | Hybrid | Hopewell, NJ | Contract
Walker Healthforce is seeking a Managed Care Coordinator for a healthcare client located in Hopewell, NJ. This is a contract position.
START DATE: ASAP
Walker Healthforce Standard Perks:
JOB DESCRIPTION
JOB REQUIREMENTS
PREFERRED JOB REQUIREMENTS
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
Walker Healthforce is seeking a Managed Care Coordinator for a healthcare client located in Hopewell, NJ. This is a contract position.
START DATE: ASAP
Walker Healthforce Standard Perks:
- Weekly pay via Direct Deposit
- Medical, Dental, and Vision Available
- 401K
JOB DESCRIPTION
- Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients.
- Handles initial screening for pre-certification requests from physicians/members via incoming calls or correspondence based on scripts and workflows, and under the oversight of clinical staff.
- Prepare, document and route cases in appropriate system for clinical review.
- Initiates call backs and correspondence to members and providers to coordinate and clarify benefits.
- Upon completion of inquiries initiate call back or correspondence to Physicians/Members to coordinate/clarify case completion.
- Review professional medical/claim policy related issues or claims in pending status.
JOB REQUIREMENTS
- 1-2 years of customer service experience
- Exposure to Utilization Management functions
- Knowledge of medical terminology
- Proficient with Microsoft applications (Excel, Outlook etc.)
PREFERRED JOB REQUIREMENTS
- Bachelor’s degree
- Knowledge of contracts, enrollment, billing & claims coding/processing
- Knowledge Managed Care principles
- Healthcare experience
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
