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Managed Care Coordinator | Hopewell, NJ | Contract

2 months ago

Hopewell, United States Walker Healthforce Full time

Managed Care Coordinator | Hopewell, NJ | Contract Walker Healthforce is seeking a Managed Care Coordinator for a healthcare client located in Hopewell, NJ. This is a contract position. START DATE: ASAP Walker Healthforce Standard Perks: Weekly pay via Direct Deposit Medical, Dental, and Vision Available 401K JOB DESCRIPTION Assists members with finding providers, resolving problems and answering questions regarding anything from how to obtain services to how to file an appeal. Makes outbound calls to in order to engage members. Educates members regarding preventive health activities and services. Assists member to make appointments with their PCP, specialists, and/or transportation, etc. Handle PCP, demographic changes and/or new ID cards as requested by members. Triage and distribute referrals from Member Services and incoming faxes from providers. Reviews medical, dental and vision claims and address gaps in member's preventative care. JOB REQUIREMENTS 1-2 years of customer service experience Knowledge of medical terminology Knowledge of contracts, enrollment, billing & claims coding/processing Prefer knowledge Managed Care principles Proficient with Microsoft applications (Excel, Outlook etc.) PREFERRED JOB REQUIREMENTS Bachelor's degree Contact our Recruiting Team today to experience the Walker Healthforce difference ABOUT USWalker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.