Clinic Administrator
The Judge Group
Eligibility & Prior Authorization Specialist
Contract: 2-months contract with possible extension
Shift: 08:00 AM – 05:00 PM (Monday-Friday)
Responsibilities
- Manage administrative intake of facilities, provider offices and members.
- Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers.
- Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles.
- Assist the clinical staff with setting up documents/triage cases for clinical coverage review.
- Handle resolution/inquiries from members and/or providers.
- This is high volume, customer service environment.
- You’ll need to be efficient, productive and thoroughly deal with our members over the phone.
Software skills: Computer skills – Adobe, Facets, Macess
Interview process: Telephonically
Seniority level: Associate
Employment type: Contract
Job function: Health Care Provider
Industries: Hospitals and Health Care
#J-18808-LjbffrVacancy posted 3 days ago
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