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Medical Operations Coordinator
1 month ago
This role supports the medical department by performing a range of administrative duties. Key responsibilities include preparing correspondence, providing follow-up with providers and members, reviewing service requests, and entering information into the database. The ideal candidate will possess strong communication skills, be able to reason logically, and have basic knowledge of medical terminology. A high school diploma or equivalent is required, with two years of related work experience preferred.
Key Responsibilities:- Prepare correspondence to members, providers, and facilities.
- Provide follow-up with providers and members as needed.
- Review service requests for completeness of information.
- Enter information into the database, compile data, and run reports.
- Receive telephone calls, answer non-clinical questions, and take information or refer callers to appropriate parties.
- Investigate and research calls from members, physician offices, ancillary vendors, and facilities to facilitate the authorization process.
- Perform other duties as assigned.
- Possess strong oral and written communication skills.
- Successful completion of Health Care Sanctions background check.
- Ability to reason logically and use good judgment when interpreting materials or situations.
- Ability to organize time effectively and set priorities.
- Basic knowledge of medical terminology.
- Proficient in Microsoft applications.
- High School Diploma or equivalent.
- Two years related work experience in medical, insurance, or doctor's office environment preferred.
- Successful completion of college-level education in a health-related field may be applied in lieu of work experience.