CarePlus Health Plans · 4 hours ago
UM Administration Coordinator
New York, United States
Full-time
Remote
Entry Level
$37K/yr - $51K/yr
1+ years exp
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Responsibilities
Support the UM Nurses to process discharge orders and arrange a safe facility discharge.
Work with UM Nurses, Pharmacy, Medical Directors and other Departments.
Make calls to UM Nurses, Hospitals, Skilled Nursing Facilities and other vendors.
Document all calls and requests.
Search for Medicare and Medicaid Guidelines.
Process all incoming fax/emails request for services the same day.
Return call for all voice messages received the same day.
Process provider and member letters (Letter of Agreements, Approvals, Denials etc.)
Mail letters to members.
Assist the team with various clerical/administrative tasks as necessary.
Participate in special projects as assigned by your Supervisor or Manager.
Qualification
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Required
1 or more years of Administrative support experience
1 or more years of Healthcare experience
1 or more years of telephonic Customer Service experience
Working knowledge of Microsoft Word, Excel, and Outlook.
Monday-Friday 8am-5pm EST, must have ability to work Nights, Weekends and Holidays based on business needs.
Preferred
Bilingual English/Spanish able to speak, read and write in both languages without limitations or assistance.
Proficient utilizing documentation programs.
Experience with the CarePlus Platform.
Proficient and/or experience with medical terminology and/or ICD-10 codes.
Member service
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Company
CarePlus Health Plans
CarePlus Health Plans provides medical and health care plans.
501-1,000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2004-12-14Acquired· by Humana
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