Healthcare Coordination Specialist

2 weeks ago


Detroit, Michigan, United States TekWissen LLC Full time
Job Overview

Company: TekWissen LLC

Position: Healthcare Coordination Specialist

Work Type: Remote

Department: Medical Assistance Inpatient Precertification

Position Summary

TekWissen LLC is a prominent provider of workforce management solutions across the United States and internationally. Our client operates within the health insurance sector, delivering a variety of healthcare coverage options including individual, family, dental, and vision plans tailored for employers.

Key Responsibilities

The Healthcare Coordination Specialist will:

  • Utilize medical terminology and possess a background in healthcare, such as experience as a nursing assistant or in a medical office.
  • Deliver exceptional customer service with outstanding phone communication skills.
  • Exhibit strong administrative capabilities and proficiency in PC applications.
Preferred Qualifications

The ideal candidate will:

  • Provide high-quality, member-focused service by leveraging knowledge of healthcare plans, products, systems, and procedures to enhance member experience.
  • Assist members in finding primary care physicians, specialists, and dental providers.
  • Clearly articulate the benefits of wellness care management programs to members.
  • Collaborate with nursing staff to research providers, eldercare options, and nursing facilities.
  • Accurately document interactions in Care Advance.
  • Engage effectively with members through inbound and outbound calls regarding clinical programs and services.
  • Facilitate referrals and warm transfers to wellness and care management teams as necessary.
  • Process provider requests and compliance inquiries efficiently.
  • Manage various departmental communications and voicemails as required.
  • Demonstrate the ability to work independently, apply critical thinking, and quickly learn new information.
  • Possess bilingual skills in Spanish.

TekWissen LLC is committed to fostering a diverse workforce and is an equal opportunity employer.



  • Detroit, Michigan, United States QSS Southeast Clinical Services LLC Full time

    Job OverviewPosition: Medical Billing SpecialistCompany: QSS Southeast Clinical Services LLCRole Summary: We are seeking a dedicated and detail-oriented Medical Billing Specialist to manage billing processes efficiently.Key Responsibilities:Process and submit medical claims accurately to insurance companies.Review and resolve billing discrepancies and...


  • Detroit, Michigan, United States QSS Southeast Clinical Services LLC Full time

    Position Overview: Healthcare Billing SpecialistWe are seeking a meticulous and organized individual to fill the role of Healthcare Billing Specialist. This position involves a variety of responsibilities including:Conducting follow-ups on claims to ensure timely processing.Addressing and resolving denied claims.Interpreting Explanation of Benefits (EOB)...


  • Detroit, Michigan, United States KYYBA Inc Full time

    Position: Healthcare Billing SpecialistLocation: Remote with occasional onsite presenceContract Duration: Long-term engagementOverview:The Healthcare Billing Specialist will be responsible for the thorough analysis and resolution of both standard and intricate billing inquiries from clients across various group segments.Key Responsibilities:Oversee the setup...


  • Detroit, Michigan, United States Wellspring Case Management Full time

    Wellspring Case Management OverviewWellspring Case Management is committed to delivering empathetic care and advocacy for individuals impacted by motor vehicle incidents. As a reliable ally in the recovery process, we provide not only medical case management but also a profound source of support, optimism, and healing.Position: Healthcare Case CoordinatorWe...


  • Detroit, Michigan, United States KYYBA Inc Full time

    Position: Healthcare Billing SpecialistLocation: Remote with occasional onsite requirementsContract Duration: Long-term engagementOverviewAs a Healthcare Billing Specialist, you will be tasked with the examination and resolution of both standard and intricate billing inquiries from our clients in various group segments, including Small, Middle, and Key &...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    STRATEGIC STAFFING SOLUTIONS (S3) IS HIRINGThe following information is intended to provide potential candidates with a comprehensive understanding of the qualifications and responsibilities associated with this position.Strategic Staffing Solutions is currently seeking a Registered Nurse Case Coordinator for a contract opportunity with a prominent...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    Strategic Staffing Solutions (S3) is excited to announce an opportunity for a Healthcare Authorization Coordinator.Position Overview: We are currently seeking a dedicated individual for a contract role that focuses on precertification processes. This position allows for remote work, providing flexibility while contributing to our mission of delivering...


  • Detroit, Michigan, United States TEKsystems Full time

    Job OverviewPosition Summary:The Healthcare Access Coordinator plays a pivotal role in enhancing departmental operations, which may encompass various responsibilities such as scheduling, patient registration, pre-admission, admission, reception, and discharge processes. This position requires the collection of comprehensive and precise patient demographic...


  • Detroit, Michigan, United States St. Joseph's Health Full time

    Overview St. Joseph's Healthcare System is esteemed for the proficiency and empathy of its highly trained and attentive personnel. The collaborative efforts of the organization's exceptional physicians, outstanding nursing staff, and committed clinical and administrative teams have established us as one of the most respected healthcare institutions in...

  • Nurse Coordinator

    7 days ago


    Detroit, Michigan, United States PACE Southeast Michigan Full time

    About PACE Southeast MichiganWe are a leading healthcare organization dedicated to providing high-quality care to our community. Our team is committed to enhancing the well-being of our patients through compassionate and personalized care.Job Title: Clinical Nurse Coordinator**Key Responsibilities:**Collaborate with healthcare providers to ensure efficient...


  • Detroit, Michigan, United States W3R Consulting Full time

    Position Title: Clinical Review NurseCompany: W3R ConsultingJob Overview:This role involves conducting comprehensive evaluations of inpatient, outpatient, and ancillary services to ensure medical necessity and appropriate care levels. The Clinical Review Nurse will play a crucial role in establishing care plans and coordinating patient care throughout the...


  • Detroit, Michigan, United States Top Talent Full time

    OverviewWe are seeking a dedicated Project Coordination Specialist with a focus on restoration and construction management. This role is essential for overseeing projects and ensuring they are completed efficiently and effectively.Key ResponsibilitiesManage and execute residential and light commercial projects.Engage in continuous training to ensure timely...


  • Detroit, Michigan, United States Rock Connections Full time

    About Rock ConnectionsThe Rock Family of Companies encompasses a diverse array of nearly 100 businesses across sectors such as fintech, sports, entertainment, real estate, and startups. Our culture is driven by a shared commitment to innovation, which strengthens our dedication to our clients, community, and team members. We are committed to fostering...


  • Detroit, Michigan, United States Verrica Pharmaceuticals Inc. Full time

    Position OverviewThe Healthcare Sales Specialist (HSS) will be tasked with engaging targeted Health Care Providers (HCPs) and groups, including Dermatologists, Pediatric Dermatologists, Pediatricians, and mid-level practitioners as identified by the Sales Leadership, to promote the appropriate use of VP-102 and other products from Verrica Pharmaceuticals...


  • Detroit, Michigan, United States Tenet Healthcare Corporation Full time

    Position Overview: Adolescent Medicine SpecialistAs a Pediatrician specializing in Adolescent Medicine at Tenet Healthcare, you will play a crucial role in addressing significant community health needs while also engaging in the education and mentorship of future pediatric professionals.The Adolescent Medicine Division at Tenet Healthcare is currently in...


  • Detroit, Michigan, United States PACE Southeast Michigan Full time

    About PACE Southeast MichiganWe are a leading healthcare organization dedicated to providing high-quality care to our community. Our team is committed to enhancing the well-being of our patients through compassionate and personalized care.Job Title: Clinical Nurse Coordinator**Key Responsibilities:**Collaborate with healthcare providers to ensure efficient...


  • Detroit, Michigan, United States Tenet Healthcare Full time

    Job SummaryWe are seeking a highly skilled Respiratory ECMO Specialist to join our team at Tenet Healthcare. As a key member of our respiratory care team, you will be responsible for providing critical care to patients requiring ECMO therapy.Key ResponsibilitiesSet up, troubleshoot, and monitor patients on prolonged life support equipment, including ECMO...


  • Detroit, Michigan, United States Tenet Healthcare Full time

    Job Summary:The Orthopedic Nurse Specialist will be a key member of the Patient Care Services Team at Tenet Healthcare, providing exceptional patient care and leadership to a team of nursing professionals.Key Responsibilities:Develop and implement comprehensive care plans for patients with orthopedic conditions, ensuring seamless coordination with...


  • Detroit, Michigan, United States Rocket Homes Real Estate LLC Full time

    Company OverviewRocket Homes Real Estate LLC is part of a diverse family of businesses dedicated to excellence across various sectors, including real estate, finance, and technology. Our culture emphasizes innovation and inclusivity, fostering an environment where every team member can thrive.Position SummaryAs an Event Coordination Specialist, you will play...


  • Detroit, Michigan, United States KYYBA Full time

    Job OverviewGreetings,My name is Poornachandra Rao, and I am a recruiter with Kyyba. We focus on connecting talented professionals with suitable opportunities across various sectors. I found your profile and believe you may be an excellent match for a current opening. Below is the job overview for your consideration. Please let me know if you would like to...