Medical Management Coordinator

2 days ago


ChampssurYonne, Bourgogne-Franche-Comté, United States P3 Health Partners Full time
Medical Management Specialist

About the Role:

P3 Health Partners is seeking a highly motivated and detail-oriented Medical Management Specialist to join our team. As a key member of our Medical Management department, you will play a critical role in supporting our mission to guide our communities to better health, unburden clinicians, align incentives, and engage patients.

Key Responsibilities:

  • Assist the Medical Management Nurses with clerical work, inbound and outbound phone calls, and faxes, mailings, and processes that do not require RN intervention.
  • Provide administrative functions to support UM Prior Authorization and Concurrent Review Team.
  • Send follow-up fax and mail communication or follow-up telephone calls to providers and patients notifying them of approved outpatient authorizations.
  • Manage fax server indexing buckets and update provider information.
  • Assist the Medical Management team in gathering additional clinical information when applicable.
  • Support the Medical Management team with appropriate referrals, claims history, or any other clinical information necessary.
  • Responsible for timely and accurate documentation in systems.

Requirements:

  • High School graduate required.
  • Education as a medical assistant or nursing school student helpful.
  • Strong problem-solving skills required.
  • Experience in a managed care organization preferred.
  • Knowledge of medical terminology required.
  • Excellent communication skills with patients, providers, internal and external customers required.
  • Must have excellent computer skills.
  • Must have excellent organizational skills, attention to detail, and ability to work independently.

About P3 Health Partners:

P3 Health Partners is a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. We are committed to guiding our communities to better health, unburdening clinicians, aligning incentives, and engaging patients.



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