Healthcare Coordination Specialist

2 weeks ago


Hopewell, New Jersey, United States Walker Healthforce Full time
Healthcare Coordination Specialist | Contract Position

Walker Healthforce is in search of a Healthcare Coordination Specialist for a healthcare organization. This role is a contract opportunity.

START DATE: Immediate

Walker Healthforce Standard Benefits:
  • Weekly compensation via Direct Deposit
  • Options for Medical, Dental, and Vision coverage
  • 401K plan
ROLE OVERVIEW
  • Facilitates members in locating healthcare providers, addressing issues, and responding to inquiries related to service access and appeal processes.
  • Conducts outbound communications to engage with members effectively.
  • Informs members about preventive health initiatives and available services.
  • Assists members in scheduling appointments with primary care physicians, specialists, and arranging transportation.
  • Manages requests for changes in primary care providers, demographic information, and new identification cards.
  • Triages and forwards referrals from Member Services and incoming documentation from providers.
  • Evaluates medical, dental, and vision claims, addressing any gaps in members' preventive care.
ESSENTIAL QUALIFICATIONS
  • 1-2 years of experience in customer service
  • Familiarity with medical terminology
  • Understanding of contracts, enrollment processes, billing, and claims coding/processing
  • Preferred knowledge of Managed Care principles
  • Proficient in Microsoft Office applications (Excel, Outlook, etc.)
PREFERRED QUALIFICATIONS
  • Bachelor's degree
Contact our Recruiting Team today to experience the Walker Healthforce difference.

ABOUT WALKER HEALTHFORCE
Walker Healthforce is recognized as a leader in performance, precision, expertise, and integrity within the healthcare consulting sector. As a certified WMBE, we deliver comprehensive healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 companies nationwide. We pride ourselves on being healthcare specialists, offering tailored solutions rather than generic services, and have been exceeding expectations for nearly two decades. We are an Equal Opportunity Employer committed to fostering a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status, or protected veteran status.

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