Medical Operations Coordinator
5 days ago
**About Professional Management Enterprises:**
We are a dynamic organization seeking highly skilled professionals to support our medical management operations.
As a Medical Operations Coordinator, you will play a vital role in providing non-clinical support to our team, handling complex file reviews and inquiries from members and providers.
**Job Summary:**
This is a work-from-home opportunity with a competitive salary of $19.25/hour after training. You will be responsible for gathering clinical information, determining appropriate actions, and maintaining tracking databases.
**Key Responsibilities:**
- Gather and review clinical information to determine the best course of action.
- Maintain and update tracking databases to ensure accurate records.
- Prepare reports and documents all actions taken.
- Respond to requests, calls, or correspondence within scope.
- Provide general program information to members and providers as requested.
**Requirements:**
- A high school diploma and a minimum of 5 years of administrative and customer service experience.
- Strong customer service and call center skills are essential.
- Knowledge of managed care or Medicaid/Medicare concepts is strongly preferred.
**Benefits:**
- Medical, dental, and vision insurance offered.
- Supplemental insurance available.
- 80 hours of PTO after 90 days.
- 10 paid holidays.
**Location:** This is a remote opportunity, allowing you to work from home. **Language:** English
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