Managed Care Coordinator

Job Summary

A company is looking for a Managed Care Coordinator I to support Clinical Operations and act as a liaison among members, physicians, and operational staff.

Key Responsibilities:

• Review service requests for completeness and collect necessary data from members and providers
• Assist members with finding providers, resolving issues, and coordinating care services
• Handle initial screening for pre-certification requests and engage members in case management

Required Qualifications and Education:

• High School Diploma or GED required
• 1-2 years of customer service or medical support experience preferred
• Knowledge of medical terminology preferred
• Familiarity with managed care principles preferred
• Ability to use personal computers and applicable software and systems