Patient Service Coordinator
1 week ago
Description:
Title: Patient Services Coordinator
Shift Hours: M-F 8am-5pm; 1 hr lunch
This position is Remote
Interviews via WebEx preferred
Patient Service Coordinator works in a collaborative role with all members of the professional health care team and with community service agencies to coordinate care for members to improve health outcomes. Assists with gathering information for the health care team regarding barriers or other health information. Implements the interventions to promote improved health and compliance with recommended plan of care, as approved by the Health Care Team. This includes functions associated with the screening for changes in health status, coaching for improved self-management, reminders of necessary testing as determined by clinical guidelines, and support of the professional clinical staff in Health Care Services.
May serve as a key resource in supporting the clinical authorization processes, coordinating linkage between members, primary care providers, specialty providers and other insurance companies. Includes supporting the referral process from providers, as well as pre-authorization approvals for medications and other services as ordered/requested by providers.
REQUIREMENTS/EXPERIENCE:
Independent, Self-Starter, who can work effectively in a remote position.
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