Care Management Authorization Associate
2 weeks ago
The Authorization Specialist I plays a crucial role in supporting administrative care management functions, which encompass outreach efforts, handling incoming calls, and scheduling services.
This position serves as a vital link between members, healthcare providers, and internal staff, addressing concerns and maintaining records in accordance with state and regulatory standards.
Qualifications:
A High School diploma or GED is mandatory, with 1-2 years of relevant experience preferred. Proficiency in data entry (minimum 60 wpm) and a strong customer service orientation are essential. Previous experience in healthcare or customer service is advantageous.
Key Responsibilities:
- Engage with members to reinforce care plans, respond to inquiries, and offer community or health plan resources.
- Facilitate connections between members and health plan or community resources, ensuring exceptional service delivery.
- Provide initial support for member and provider questions, clarifying care plan procedures and guidelines.
- Assist in member onboarding processes, including the distribution of welcome letters, communications, and educational resources.
- Document and uphold non-clinical member records in line with state and regulatory mandates.
- Address Social Determinants of Health (SDOH) requirements through appropriate referrals.
Additional Skills:
Familiarity with Social Determinants of Health is preferred. Excellent communication and organizational abilities are crucial.
Experience Level:
Entry Level
About TEKsystems:
TEKsystems is dedicated to transformation. We collaborate with clients to activate innovative ideas and solutions, seizing opportunities in a rapidly evolving landscape.
Our team of 80,000 professionals partners with over 6,000 clients, including a significant portion of the Fortune 500, across North America, Europe, and Asia.
As a leader in Full-Stack Technology Services, Talent Services, and practical application, we work alongside forward-thinking leaders to drive impactful change.
TEKsystems is an Allegis Group company and is committed to equal opportunity employment, considering all applications without regard to race, gender, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.
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