Conviva Care Center · 1 day ago
Utilization & Disease Management Administration Coordinator - Census Management
Florida, United States
Full-time
Remote
Entry Level
$40K/yr - $52K/yr
1+ years exp
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Responsibilities
Attaching faxes for chart reviews for the nursing team
Answering departmental phones as assigned
Make outbound calls to engage providers to verify clinical information/discharge date and admission status
Document calls and attach clinical information received
Request clinical information from providers/facilities
Create and send out written correspondence
Ability to multitask and prioritize
Creation and distribution of determination letters
Collaborate with multiple roles/departments/providers/team members
Qualification
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Required
1 or more years healthcare administrative or technical support experience
Current or past HMO Experience
Excellent verbal and written communication skills
Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems
Preferred
Proficient utilizing electronic medical record and documentation programs
Proficient and/or experience with medical terminology and/or ICD-10 codes
Bachelor’s degree in Business, Finance or a related field
Prior member service or customer service telephone experience desired
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
Benefits
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Medical, dental and vision benefits
Short-term and long-term disability
Life insurance
Company
Conviva Care Center
Every day at Conviva, we inspire each senior to live their best life by practicing wellness, prevention, and holistic care.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Angela Simpson, SHRM CP
Human Resources Business Partner Lead
Bill Russell, MD
Division CMO
Company data provided by crunchbase
