Florida Care Management Assistant

Job Summary

To support the administration of care management, the full-time Florida Care Management Assistant will provide non-clinical support, manage inbound referrals, verify benefits coverage, and coordinate care delivery while working remotely.

Key responsibilities

• Review and process inbound referrals and physician documentation for care management
• Verify benefits coverage and eligibility for services as per Health Plan contracts
• Educate members and providers on referral management and communicate final determinations

Required qualifications

• 1-3 years of Home Health or Infusion Pharmacy experience is required
• Knowledge of Medicare/Medicaid and commercial insurance is required
• Experience with medical authorizations is required
• Microsoft Office proficiency, particularly in Word, Outlook, and Excel, is preferred
• Knowledge of medical billing is preferred