Healthcare CSR/Program Coordinator

Healthcare Support Staffing

Pittsburgh (Allegheny County)

On-site

USD 35,000 - 45,000

Full time

14 days+

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Benefits offered by this job

Fun and positive work environment

Opportunity for growth and advancement

Job summary

A national healthcare staffing firm is looking for individuals to coordinate member care, making calls to members and providers. This role requires a high school diploma and 1-2 years of healthcare experience, alongside call center work. Employees will enjoy a fun work environment and opportunities for growth. The position is Monday to Friday from 8:00 am to 5:30 pm.

Qualifications

High school diploma is required.
1-2+ years of healthcare experience preferred.
1-2+ years of call center experience is expected.

Responsibilities

Take calls from members and providers for care coordination.
Work closely with care management to ensure proper member care.
Initiate authorization requests as needed.

Skills

Healthcare experience

Call center experience

Understanding of medical terminology

Ability to work in a fast-paced environment

Education

High school diploma

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company Job Description/Day to Day Duties:

Will be taking calls from members and providers.
Will work closely with the care management team to ensure members are receiving proper care
Will be working on the computer as they talk to members to set them up in the system.
Taking calls from members and providers to ensure members are receiving proper care
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.
Initiate authorization requests for output or input services in keeping with the prior authorization list.
Research claim inquiries specific to the department and responsibility.
Perform tasks necessary to promote member compliance such as verifying appointments and obtaining lab results.
Screen for eligibility and benefits.
Screen members by priority for case management assessments.
Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
Coordinate services with community based organizations.
Produces and mails routine Case Management letters and program educational material.
Enter assessments and authorizations into the system.