Program Coordinator - Medical Management

Program Coordinator - Medical Management openings with a major health insurance / managed care company in the West Allis, WI 53214 area! Starting ASAP! Apply now with Luke H. at A-Line!

Job Summary:

100% in office
Covid-19 Vaccine outreach, will be completing an assessment.
Will help schedule an appointment if they have not had the shot. They will reach out to 40-50 members.

Pay: $19/hour

Hours: 8am-4: 30pm Monday-Friday

Requirements:

Call Center customer service-related experience required - minimum of 6 months to 1 year.
Must have patient/member experience or external experience
High school diploma or GED required.
1-3 years managed care or physician' s office experience, and an understanding of utilization review or claims processing practices in a managed care environment.
Previous experience with computer applications, such as MS Outlook or data entry software; Needing someone who is comfortable navigating multiple systems.
Bilingual in Spanish is preferred but not required.

Why Apply:

Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
401k after 1 year of employment: With employer match and profit sharing
GREAT Hours! Monday through Friday, 40 hours per week
Competitive Pay Rate!

Keywords: Call Center, Customer Service, Claims, Benefit Verifications, Medical Billing, Medical Coding, ICD-9, ICD-10, CPT, CPC, Billing & Coding, Appeals, Grievances, Denials, Managed Care, Health Plan, Health Insurance, Case Manager, Care Manager, Utilization Review, Utilization Management, STARS, HEDIS, Complex Case Management, CCM, Certified Case Manager, NCQA, URAC, CMS, Medicare, Medicaid, HMO, Quality Assurance, Quality Improvement