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Medical Assistant
3 months ago
Job Title: Medical Assistant
Location: Orange CA 92868
Duration: 6 Months
Responsibilities
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.
- Receives inpatient requests via fax, phone, or electronically and enters data of new case information into the medical management system.
- Creates inpatient events based on facility face sheets and/or clinical received.
- Verifies member eligibility.
- Collects additional information from The Client's members and/or providers/facilities to complete prospective, concurrent, or retrospective inpatient service reviews.
- Authorizes requested services according to The Client's's Concurrent Review team guidelines.
- Contacts the health networks and/or The Client's Customer Service department regarding health network enrollments.
- Assists the inpatient Medical Case Manager in gathering medical records, obtaining appropriate coding for diagnosis and procedures, discharge dates, dispositions, and conducts follow-up phone calls per concurrent review team standards.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Documents all contacts and case information in the system using the standard charting format.
- Enters data into the appropriate databases for monitoring and tracking, trending of inpatient events, and other relevant databases as needed.
Minimum Qualifications :
- High School diploma or equivalent required.
- 2 years of experience in a health care or managed care setting required.
Cogent Infotech is an equal-opportunity employer, fostering a diverse and inclusive workplace. We welcome applicants from all backgrounds and do not discriminate based on race, color, religion, national origin, age, sex, pregnancy, genetic information, sexual orientation, gender identity, military status, citizenship, or any other characteristic protected by applicable law.
Company DescriptionAt Cogent, we are dedicated to pushing the boundaries of our expertise to set new industry standards. Through continuous refinement of our processes and broadening our services to meet evolving needs across industries, we provide effective, future-forward and comprehensive solutions.Company DescriptionAt Cogent, we are dedicated to pushing the boundaries of our expertise to set new industry standards. Through continuous refinement of our processes and broadening our services to meet evolving needs across industries, we provide effective, future-forward and comprehensive solutions.