Medical Management Care Coordination Specialist

VNS Health; New York (NY); Presencial; USD 32.000 - 40.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Referral bonus opportunities

PTO starting at 20 days + 9 holidays

Health insurance plan for you and your

Lif e and Disability

Employer-matched retirement savings

Tuition reimbursement

Pre-tax FSAs for healthcare and Dep.CA

Professional growth and career Adv.

Descripción de la vacante

VNS Health is hiring for a role focused on data entry and customer service within a clinical setting in New York. You will collect information from clinicians, create and manage case files requiring authorization, and ensure accurate data entry across systems to support timely decisions and claims adjudication.

The position emphasizes providing excellent customer service, problem solving, and adherence to confidentiality while supporting management with training and process improvements.

Formación

• High School Diploma or equivalent is required.
• Minimum of two years of experience in a customer service role.
• Excellent oral and written communication skills required.
• Advanced personal computer skills including Word, Excel or Access required.

Responsabilidades

• Obtains information from doctors and/or providers and enters data into the medical management information system to enable clinical staff to correctly apply assessment tools.
• Creates case files for services that require authorization and maintains accurate data in all applicable systems to ensure prompt decision-making and accurate claims adjudication.
• Delivers strong customer service and problem solving while providing triage and management of calls with accuracy of data collection and ensuring established call performance targets are consistently achieved.
• Tracks and monitors customer complaints concerning service requests. Reports any unusual or complex issues/trends to management; recommends corrective actions.
• Provides triage and management of calls ensuring that established call performance targets consistently achieved.
• Provides feedback to leadership regarding training needs
• Collaborates with management to determine the best approach to service customers, handle repeat vendor issues and other job-related matters to maximize and improve delivery, billing and payment of goods and services.
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
• Participates in special projects and performs other duties as assigned.

Conocimientos

Customer service

Communication skills

Problem solving

Data entry

Educación

High School Diploma or equivalent

Herramientas

Word

Excel

Access

Descripción del empleo

VNS Health is hiring for a role focused on data entry and customer service within a clinical setting in New York. You will collect information from clinicians, create and manage case files requiring authorization, and ensure accurate data entry across systems to support timely decisions and claims adjudication.

The position emphasizes providing excellent customer service, problem solving, and adherence to confidentiality while supporting management with training and process improvements.