Care Coordinator

Job not on LinkedIn

🔥 0 minutes ago

💵 $18 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Where this job comes from

Posted on All Care To You's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of All Care To You

All Care To You

51 - 200 employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

💼 Consulting

Healthcare • Healthcare Insurance • Consulting

All Care To You is a Management Service Organization (MSO) dedicated to fostering a collaborative work environment grounded in knowledge, trust, growth, and respect. The company primarily operates within the hospitals and healthcare sector, offering a range of services that support healthcare providers and enhance patient care.

📋 Description

• Support the care management team • Work directly with Utilization Management Nurses in day-to-day operations • Assist and monitor the processing of authorization requests • Document, update, and finalize referrals daily • Verify providers, member eligibility, benefits coverage, CPT/ICD-10 codes, dates, required fields, and supporting clinical data • Process referrals within designated timeframes • Look up information in the DOFR and EOC • Follow Coordinator guidelines for authorization requests • Coordinate, identify, and route referrals requiring review to Utilization Management Nurses • Assist with data entry, updates, and corrections • Interact with UM nurses and provide timely follow-through • Take incoming departmental calls • Call providers, members, and health plans • Maintain PHI and HIPAA compliance • Proactively solve problems • Attend meetings and complete required training • Perform other duties as needed

🎯 Requirements

• 2 years healthcare administration experience • 3 years customer service experience • HMO/Medical Group experience preferred • Must be able to work 8–5 PM Pacific Standard Time • Bilingual proficiency preferred • Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office, Word, Excel, and Adobe • Strong ability to multitask and work in a fast-paced environment • Strong problem-solving ability • Ability to work in an extremely confidential environment • Strong written and verbal communication skills • Technology savvy and highly organized

🏖️ Benefits

• 100% employer-paid medical coverage • 100% employer-paid vision coverage • 100% employer-paid dental coverage • 100% employer-paid life coverage • Paid holidays • Paid sick time • Paid vacation time • 401(k) plan • Additional employee-paid coverage options • Flexible work environment and schedules • Work-from-home options

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