Managed Care Coordinator

Job Summary

Supporting the Clinical Operations functions, the full-time Managed Care Coordinator will manage service requests, coordinate communications between members and providers, and assist with case management tasks in a remote setting.

Key responsibilities:

• Review service requests for completeness and collect necessary clinical and non-clinical data
• Coordinate with members and providers to clarify benefits and case completion
• Assist members with finding providers, resolving issues, and completing health assessments

Required qualifications:

• High School Diploma/GED required
• 1-2 years of experience in customer service or a medical support role preferred
• Knowledge of medical terminology and managed care principles preferred
• Ability to analyze and resolve problems with minimal supervision
• Familiarity with contracts, enrollment, billing, and claims coding/processing preferred