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Prior Authorization/support case managers and UM reviewers/post acute
2 months ago
Will this position be required to work onsite for any reason at any time? Yes, training will be onsite. Ren Cen or towers for training and then no onsite requirement after.
Prior Authorization, Training will be onsite, work REMOTE
22-24.00 an hour w2 contract
Support health care payer providers and UM reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into client's Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests.
May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning.
May support scheduling physician to physician calls.
Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities.
High School Graduate or GED equivalent required.
Two (2) years of college preferred.
Two (2) years experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other health care related field preferred. Knowledge post-acute care functions and processes or discharge readiness activities may be preferred for some positions.
Company DescriptionAbout Kyyba:Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Kyyba is an Equal Opportunity Employer
Benefits:
Major Medical Coverage, including dental and vision
401k
Term life
Short-term disability
Long-term disability
Pre-paid legal plan
Identity theft plan
Medical and dependent FSA
HSA
Paid time off
Paid holidays
Opportunity for advancement
SELECT AWARDS
•\tAn INC 5000 company for 10 years
•\tCorp Michigan Economic Bright Spots
•\tCrain’s Detroit Business Top Staffing Service Companies in Detroit
•\tTechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
•\tBest of MichBusiness winner in HR Wizards & Partnerships
•\tMetro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
•\t101 Best & Brightest Companies to Work for in Michigan
Monday - Friday: 8:30am to 5pm.Company DescriptionAbout Kyyba:\r
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.\r
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development. \r
\r
Kyyba is an Equal Opportunity Employer\r
\r
Benefits:\r
Major Medical Coverage, including dental and vision\r
401k \r
Term life\r
Short-term disability\r
Long-term disability\r
Pre-paid legal plan\r
Identity theft plan\r
Medical and dependent FSA\r
HSA\r
Paid time off\r
Paid holidays\r
Opportunity for advancement\r
\r
SELECT AWARDS\r
•\tAn INC 5000 company for 10 years\r
•\tCorp Michigan Economic Bright Spots \r
•\tCrain’s Detroit Business Top Staffing Service Companies in Detroit\r
•\tTechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions\r
•\tBest of MichBusiness winner in HR Wizards & Partnerships\r
•\tMetro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest\r
•\t101 Best & Brightest Companies to Work for in Michigan\r
\r
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Monday - Friday: 8:30am to 5pm.
