Program Case Manager: Care Coordination & Insurance

Institutes of Health; San Diego (CA); Vor Ort; USD 25.000 - 39.000; Vollzeit

Zusammenfassung

Institutes of Health in San Diego seeks an organized team member to support physicians in delivering patient care within a multidisciplinary setting. You will interface with insurance carriers, adjusters, Nurse Case Managers and attorneys to secure authorizations and ensure timely responses.

You will coordinate multiple appointments, maintain tracking for authorizations, and assist with billing documentation.

Qualifikationen

• High School Graduate.
• Strong communication skills, written and verbal.
• Exceptional attention to detail.
• Must be able to multitask in a fast paced environment.
• Problem Solving; identifies and resolves problems in a timely manner, gathers and analyzes information skillfully; develop alternative solutions
• Proficient with Microsoft Office Suite, especially Excel
• Bilingual in English and Spanish
• Professional demeanor and appearance.

Aufgaben

• As part of a multidisciplinary team, supports our physicians in the delivery of care to patients.
• Interfacing and coordinating care with insurance carriers, adjusters, Nurse Case Managers and attorneys to secure authorization for services.
• Followup on requests and ensure we receive responses from insurance carriers in a timely manner.
• Maintain tracking for authorizations to keep precise data for reports.
• Coordinating multiple medical appointments with different providers within the company.
• Ensuring all necessary treatment documents are completed prior to submitting for billing.
• Arranging patient transportation and interpreters if needed.
• Completion of the required tasks within the deadline.
• Attending weekly meetings with team to discuss progress of patients in program.
• Providing support to coworkers.
• To be crosstrained and back up to coworkers

Kenntnisse

Communication

Attention to detail

Multitasking

Problem solving

Bilingual English/Spanish

Professional demeanor

Ausbildung

High School Diploma

Tools

Microsoft Office Suite

Excel

Jobbeschreibung

Institutes of Health in San Diego seeks an organized team member to support physicians in delivering patient care within a multidisciplinary setting. You will interface with insurance carriers, adjusters, Nurse Case Managers and attorneys to secure authorizations and ensure timely responses.

You will coordinate multiple appointments, maintain tracking for authorizations, and assist with billing documentation.