Managed Care Coordinator

Familyhealthcenter; Newcastle; On-site; ZAR 200 000 - 300 000; Full time

Job summary

An established industry player is seeking a Managed Care Coordinator to join their dynamic team. In this role, you will be responsible for completing insurance requirements and providing essential case management in various patient settings. Your expertise will help patients navigate their insurance benefits and explore alternative options for non-covered services. This position offers a chance to make a significant impact in the healthcare field while working in a supportive environment. If you are passionate about healthcare and have a knack for problem-solving, this role is perfect for you!

Qualifications

• High school diploma required; medical terminology and anatomy courses needed within a year.
• Two years' experience in a medical business office or health care setting.

Responsibilities

• Completes insurance requirements and provides case management for patient services.
• Assists patients and providers in developing strategies for non-covered services.

Skills

Insurance eligibility and benefit information

Case management

Bilingual Spanish speaking

Education

High school diploma or equivalent

Medical terminology course

Anatomy & physiology course

Graduate of Medical Assistant program

Job description

Join to apply for the Managed Care Coordinator role at Family Health Center. The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings.

The individual obtains and provides insurance benefit information to patients and patient care departments.

The Managed Care Coordinator assists patients and providers with developing strategies for alternative options for non-covered services by communicating with the provider, patient, insurance carrier, and Patient Assistance Counselor.

Job Qualifications

EDUCATION

Minimum Required: High school diploma or equivalent.

Successful completion of a medical terminology and an anatomy & physiology course, per departmental procedures, within one year of hire.

Preferred / Optional: Successful completion of a medical terminology and an anatomy & physiology course at time of hire.

Graduate of a Medical Assistant, Health Unit Coordinator or Health Care Business Service program.

EXPERIENCE

Minimum Required: Two years' experience in a medical business office or health care setting.

Prior experience should include working with and obtaining insurance eligibility and benefit information.

Preferred / Optional: None

CERTIFICATIONS / LICENSES

Minimum Required: Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within 90 days of hire.

Preferred / Optional: Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.

Bilingual Spanish speaking with ability to pass a skills-based assessment proving ability to interpret.

Equal Employment Opportunity Employer

Monday thru Friday; 8am - 5pm

Seniority level: Entry level

Employment type: Full-time

Job function: Health Care Provider

Industries: Health and Human Services