Clinical Coordination Specialist
4 weeks ago
We are seeking a skilled Clinical Coordination Specialist to join our team at Bcidaho. As a key member of our healthcare operations team, you will play a critical role in ensuring the smooth coordination of healthcare services for our members.
Key Responsibilities
- Verify provider contracting status and member eligibility, including any applicable pre-existing periods.
- Communicate and coordinate with providers to obtain and verify information related to requests for service.
- Review member eligibility and benefit structure for requested referrals or prior authorizations.
- Respond to incoming calls from internal and external customers via multiple types of media.
- Enter and maintain documentation per policy and procedures.
- Complete correspondence according to established workflows.
Requirements
- 2 years' relevant experience in clinical coordination or a related field.
- Good verbal and written communication skills.
- Medical terminology knowledge.
- Familiarity with ICD10 and CPT coding.
- Problem-solving skills.
What We Offer
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.
Equal Employment Opportunity
Bcidaho is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.
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