Our Client, a Retail Pharmacy company, is looking for a Coordinator III - Care Management Associate for their Remote/ AZ location.
Responsibilities
- Supports clinical nurses whether in the office or out in the field.
- Interact with external providers and deliver excellent customer service.
- Promotes and supports quality administration of healthcare services.
- Process intake of services via electronic fax system
- Research member eligibility information before creating any authorizations
- Creates authorizations in our database and faxes back authorization numbers to the providers
- Coordinates all types of admissions for appropriate discharge dates with the hospitals
- Requests medical records for all admissions for clinical nurses if needed
Requirements
- Protects the confidentiality of member information and adheres to company policies
- Must possess strong customer service skills to coordinate services
- Computer literacy is a must to be able to navigate through internal and external systems
- Familiar with basic medical terminology and concepts of care management
- Effective communication, telephonic and organizational skills
- Proficient in keyboarding, typing 45 wpm with min score of 6500 alphanumeric skill set
- Customer Service & Provider Coordination
- Ability to interact professionally with external providers, support clinical nurses, coordinate admissions, request medical records, and maintain confidentiality.
- Computer Navigation & Systems Accuracy
- Proficiency in navigating multiple computer systems, processing electronic faxes, researching eligibility, creating authorizations, and ensuring accurate data entry.
- Medical Terminology & Healthcare Workflow Knowledge
- Basic understanding of medical terminology, admissions processes, authorization workflows, service intake, and coordination of care.
- 1 - 2 years’ experience as a medical assistant, office assistant
- Strong customer service skills
- Strong problem-solving and analytical skills
- Possess strong computer navigation skills
- Comfortable with regular feedback and development
- Works well in a team environment
- Must have basic medical terminology experience
- High school diploma or GED required
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.