Healthcare Navigator
2 weeks ago
We are seeking a highly skilled Managed Care Coordinator to join our team at Walker Healthforce. As a Managed Care Coordinator, you will play a critical role in ensuring the smooth delivery of healthcare services to our clients.
Key Responsibilities:- Assist members with finding providers and resolving problems related to healthcare services.
- Makes outbound calls to engage members and educate them on preventive health activities and services.
- Assist members with making appointments with their primary care physicians, specialists, and transportation arrangements.
- Handle demographic changes, new ID cards, and referrals from Member Services and providers.
- Triage and distribute referrals, and review medical, dental, and vision claims to identify gaps in member's preventative care.
- 1-2 years of customer service experience.
- Knowledge of medical terminology and contracts, enrollment, billing, and claims coding/processing.
- Prefer knowledge of Managed Care principles.
- Proficient with Microsoft applications (Excel, Outlook, etc.).
Walker Healthforce is a leading healthcare consulting firm that provides end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations. We are committed to delivering exceptional results and exceeding our clients' expectations.
We are an Equal Opportunity Employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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Healthcare Navigator
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Hopewell, New Jersey, United States Walker Healthforce Full timeJob Title: Managed Care CoordinatorWe are seeking a highly skilled Managed Care Coordinator to join our team at Walker Healthforce. As a Managed Care Coordinator, you will play a critical role in ensuring the smooth delivery of healthcare services to our clients.Key Responsibilities:Assist members with finding providers and resolving problems related to...
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