Large managed care company is looking for Patient Care Coordinators to be responsible for initial triage of members, administrative intake of members or managing the admission/discharge.

WORK LOCATION: 15320 Amberly Dr. Suite B, Tampa, FL 33610

PAY: $19.00

CONTRACT DATES: 8/11/24 - 11/11/24

HOURS: Mon- Fri 8am-5pm (40 hrs/week) with 1 hour lunch. Can be flexible on work hours between 8am-6pm.

RESPONSIBILITIES

• Determine member eligibility
• Processing Referrals for patients
• Provide/explain benefit information to members/providers
• Obtaining authorizations from the Health Plan
• Schedule appointments for members based on request
• Take calls and questions from members and/or providers regarding case status
• Utilize phone system to respond to and transfer calls to appropriate individuals
• Contacting and coordinating Specialists and patients to set up appointments
• Serve as primary point of contact for providers or members regarding medical/behavioral/clinical services or benefits
• Extract and review fax requests for medical or clinical services
• Receive calls requesting medical/behavioral/clinical services or benefits information (e.g., from providers or members)
  
• Receive electronic referral form requests for medical/behavioral/clinical services
  

QUALIFICATIONS

• Highschool/GED or equivalent
• Healthcare EMR experience needed
• Must be able to Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
• Some understanding of the patient referral process helpful but not required, we are willing to train.