Remote Accommodations Specialist – Single Case Agreements

Pride Health; Minneapolis (MN); Remote; USD 17,000 - 18,000; Full time

Job summary

Pride Health is hiring an Accommodations Specialist to support our client’s medical facility in Remote. This is a 3+ month contract assignment (convertible to permanent based on your work performance).

and a great way to start working with a top-tier healthcare organisation! You will process single case agreements, provide service support to Intake, Claims, and Care Management teams, and ensure timely access to behavioral health services for members.

Qualifications

• 1+ years of experience in Claim Processing or healthcare operations.
• Knowledge of insurance payer guidelines, authorization requirements, and medical terminology.
• Strong organizational, multitasking, and communication skills in a fast-paced environment.

Responsibilities

• Process single case agreements with facilities and clinicians for the Exchange line of business.
• Provide service support to Intake, Claims, and Care Management teams to ensure timely access to behavioral health services for members.
• Handle single case agreement requests while meeting departmental financial and service standards.
• Respond to all phone calls and emails pertaining to single case agreements.
• Update internal staff regarding potential single case agreement delays/and or barriers.
• Timely and accurate communication in executing single case agreements.
• Update appropriate systems regarding outcome of single case agreements.
• Consistently provider searches to review providers network status.
• Meet turnaround time objectives mandated by customers and state requirements.
• Partner with network contracting staff regarding providers interested in contracting.
• Accurate data entry of all single case agreement information in systems.
• Complete company required training
• Other duties as assigned.

Job description

Pride Health is hiring an Accommodations Specialist to support our client’s medical facility in Remote. This is a 3+ month contract assignment (convertible to permanent based on your work performance).

and a great way to start working with a top-tier healthcare organisation! You will process single case agreements, provide service support to Intake, Claims, and Care Management teams, and ensure timely access to behavioral health services for members.