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Prior Authorization Representative
4 weeks ago
Title**:Program Coordinator (Referral/Authorizations/Member Outreach)**
Location**:REMOTE - McAllen, Austin, San Antonio, TX**
Duration**:3 months contract with possible extension or conversion to FTE**
Target Start Date (based on successful onboarding completion)**:06/17/2024**
Shift**:8:00 AM - 5:00 PM - 40 HRS/weekly**
- Remote. Employee must reside near McAllen, San Antonio/Austin office.
Walk me through the day to day responsibilities of this the role and a description of the project:
- Individual will be contacting member telephonically - like working in a call center - making outbound calls and receiving inbound call
- Review member file and make appropriate outreaches to coordinate member’s Durable Medical Equipment (DME) and Adaptive Aid (AA) items.
- Review member eligibility and identify appropriate payers and communicate with DME agencies and PCPs to obtain needed information for requested items.
Describe the performance expectations/metrics for this individual and their team:
Tell me about what their first day looks like:
- IT Call - TBD
**Required Skills/Experience/Education**:
- **2+ years of Member Outreach Outbound Calls in a Managed Care/Healthcare/Medical Office setting. Experience working remotely.**:
- Strong Typing Skills 40WPM, Strong Proficiency in Microsoft Office (Excel, Word and Outlook), and Multitasking skills.
- High School Diploma or GED required.
**Job Type**: Contract
Pay: $17.00 per hour
Expected hours: No less than 40 per week
**Benefits**:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
- Weekends as needed
**Experience**:
- Referral/Authorizations/Member Outreach: 2 years (required)
- Outbound calling: 2 years (required)
Ability to Commute:
- Austin, TX (required)
Work Location: Remote
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