Patient Care Coordinator
Location:
Los Angeles , California
Posted:
November 24, 2017
Reference:
00291-0010178514

A large Healthcare company in the South Bay area is in need of an experienced Referral Coordinator with Managed Care experience for a temporary project. This project is set to last at 2-3 months, but possibly longer. As the referral Coordinator you MUST have experience with managed care referral processing. If you are flexible with working a later shift (starting at 3 or 4pm) that would be highly preferred. Under the direction and supervision of the UM Assistant Manager, the Referral Coordinator receives urgent, routine, pre-service and retro authorization requests and processes them through the referral and authorization procedures as established by the medical group utilization department. You would be responsible for prepping and processing referrals according to health plan benefits, DOFR and appropriate contracted provider. The Referral Coordinator would Identifies health plan, medical group and or CMS documents needed to assist the next level of reviewer in review. The position would involve going online or calling for benefits, Health Plan policies or criteria for referrals received via Epic CareConnect or via fax. Answering calls regarding referrals and data entry of referrals received via fax. If you are interested please submit your resume to: Nicole.Kang@officeteam.com


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Founded in 1948, Robert Half (NYSE: RHI) is the world's first and largest specialized staffing services firm.

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