Care Coordination Specialist: Managed Care & Advocacy

Empower Healthcare Solutions; Little Rock (AR); In loco; USD 19.000 - 25.000; Tempo pieno

Descrizione del lavoro

Empower Healthcare Solutions LLC in Little Rock is seeking an entry-level Care Coordinator to support managed care operations and member advocacy. You will coordinate referrals, verify coverage, and assist with authorizations while educating members.

The role requires strong communication, organizational, and documentation skills, with attention to patient-centered care and adherence to regulatory requirements.

Competenze

• High School diploma and one year experience in the mental health field.
• Bachelor's degree in a healthcare, social work, psychology, or related field preferred.
• Knowledge of managed care principles, processes, and regulations.
• Familiarity with health insurance terminology, coverage, and benefit structures.
• Strong organizational skills with the ability to manage multiple tasks.

Mansioni

• Oversee and facilitate the coordination of managed care services, including verifying eligibility, managing referrals, and obtaining authorizations for medical procedures, treatments, and services.
• Deliver personalized health education and coaching to members based on identified concerns in treatment and service plans, ensuring compliance with guidelines and policies.
• Provide member support access addressing social determinants of health, such as access to exercise opportunities and nutritious food.
• Verify insurance coverage and benefits for patients, ensuring accurate and up-to-date information is obtained and documented.
• Collaborate with insurance companies and healthcare providers to ensure availability and quality of services.

Conoscenze

Communication skills

Organizational skills

Detail-oriented

Computer literacy

Knowledge of managed care

Health insurance terminology

Formazione

Bachelor's degree in healthcare related field

High School diploma

Descrizione del lavoro

Empower Healthcare Solutions LLC in Little Rock is seeking an entry-level Care Coordinator to support managed care operations and member advocacy. You will coordinate referrals, verify coverage, and assist with authorizations while educating members.

The role requires strong communication, organizational, and documentation skills, with attention to patient-centered care and adherence to regulatory requirements.