Offer summary

Qualifications:

High School Diploma or GED is required., At least 3 years of experience in healthcare claims or office support., Preferred: 2 years of experience in healthcare or managed care settings., Knowledge of CPT and ICD-10 coding is a plus..

Key responsibilities:

Perform administrative support related to members or providers, including benefit verification and authorization management.

Review authorization requests for initial determination and clinical review triage.

Provide general support such as answering calls, managing correspondence, and researching information.

Assist with reporting, data tracking, and dissemination of information related to healthcare processes.

Job description

LOCATION
100% Remote (must be local to DC, MD, VA or WV)

DURATION
3 month contract

JOB DUTIES

Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews.

QUALIFICATIONS