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Program Coordinator 1

4 months ago

Corpus Christi, United States Deans Professional Services Full time
Job DescriptionJob Description

Dean’s Professional Services is now hiring a qualified, patient-care-focused Program Coordinator 1to work for a Healthcare Facility in the Corpus Christi, TX area. -Remote Position


We are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities


Program Coordinator 1is responsible for assisting in activities related to the medical and psychosocial aspects of utilization and coordinated care. Individuals will be contacting member telephonically – like working in a call center – making outbound calls and receiving inbound call.


Job Responsibilities:

  • Initiate authorization requests for output or input services in keeping with the prior authorization list.Research claims inquiry specific to the department and responsibility.
  • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.Assess and monitor inpatient census.
  • Screen for eligibility and benefits.Identify members without a PCP and refer to Member Services.Screen members by priority for case management (CM) assessment.
  • Perform transition of care duties to include but not limited to contacting the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
  • Coordinate services with community-based organizations.Attend marketing and outreach meetings as directed to represent the plan.Produces and mails routine CM letters and program educational material.
  • Data enter assessments and authorizations into the system.


Job Requirements:

  • High school diploma or equivalent. Required
  • Knowledge of computers and associated software. Required
  • Microsoft Outlook knowledge. Required
  • Knowledge of Medicaid. Preferred
  • Call center experience and medical experience. Preferred
  • Bilingual Preferred
  • 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties.
  • Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.
  • Knowledge of medical terminology



Job Details:

  • Remote – Corpus Christi, TX
  • M-F hours between 8am -5pm (overtime will happen time to time)
  • $17-$18/hr + benefits
  • Full benefits – healthcare, dental, vision, 401k program.
  • Temp-to-Hire opportunity.
  • Outpatient facility


Dean’s Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information please visitwww.deansprofessionalservices.com.