Managed Care Coordinator

Job Summary

A company is looking for a Managed Care Coordinator I.

Key Responsibilities

• Review service requests and collect non-clinical and structured clinical data from members and providers
• Coordinate and clarify benefits through correspondence with members and providers
• Assist members with accessing services and resolving issues related to their care

Required Qualifications

• High School Diploma or GED required
• 1-2 years of experience in customer service or a medical support role preferred
• Knowledge of medical terminology is required; knowledge of Medicaid CM is preferred
• Understanding of managed care principles and claims processing is preferred
• Ability to make sound decisions under supervision is required