Healthcare Intake & Resolution Specialist

Prominence Health; Reno (NV); On-site; USD 42,000 - 70,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Competitive Compensation

Generous PTO

Medical Plan

Dental Plan

Vision Plan

401K with company match

Stock Plan

Job summary

Prominence Health is seeking a Medical Management Resolution Specialist (non-clinical) to help oversee daily operations within the Medical Management Department, ensuring accurate information and timely responses to inquiries in line with department policy and applicable state and federal requirements.

The role includes performing intake screening and data collection, ensuring licensed health professionals are available for necessary evaluation, and supporting smooth workflow across Medicare,

Responsibilities

• Monitor daily operations of the Medical Management Department and ensure complete and accurate information is provided on inquiries and timelines are met per policy and procedures.
• Perform intake screening and transfer of non-clinical data, collecting structured clinical data while ensuring licensing professionals are available for complex evaluation.

Job description

Prominence Health is seeking a Medical Management Resolution Specialist (non-clinical) to help oversee daily operations within the Medical Management Department, ensuring accurate information and timely responses to inquiries in line with department policy and applicable state and federal requirements.

The role includes performing intake screening and data collection, ensuring licensed health professionals are available for necessary evaluation, and supporting smooth workflow across Medicare,