Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources. Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management. License and Certifications - Required.
Qualifications Include: Travel 5 % of the Time. Familiarity with medical terminology and/or ICD-10 codes. Associate's or Bachelor's Degree in Business, Finance or a related field. Clerical support background in a healthcare environment.
A healthcare and health insurance company is in need of a Telecommuting 2nd Shift Medicare Clinical Guidance Specialist in the Miramar Area. Individual must be able to fulfill the following responsibilities: Collecting broad based information and gathering resources and data.
Required Skills: Minimum 1 year experience in medical scheduling in a physician office or medical center. Excellent customer service and compassion for patients. Computer software and hardware must meet the employer's minimum technical requirements.