Health Services Coordinator
3 weeks ago
As a Health Services Coordinator at Mindlance, you will play a vital role in supporting the Utilization Management clinical teams. Your primary responsibilities will include assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination, and quality of care.
Key Responsibilities
Perform member or provider-related administrative support, which may include benefit verification, authorization creation and management, claims inquiries, and case documentation.
Review authorization requests for initial determination and/or triage for clinical review and resolution.
Provide general support and coordination services for the department, including answering and responding to telephone calls, taking messages, letters, and correspondence, researching information, and assisting in solving problems.
Assist with reporting, data tracking, gathering, organization, and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews.
Requirements
To be successful in this role, you must have a High School Diploma and 3 years of experience in healthcare claims/service areas or office support. Preferred qualifications include two years of experience in a healthcare/managed care setting or previous work experience within the division. Knowledge of CPT and ICD-10 coding is also beneficial.
Skills and Abilities
Ability to effectively participate in a multi-disciplinary team, including internal and external participants.
Excellent communication, organizational, and customer service skills.
Knowledge of basic medical terminology and concepts used in managed care.
Knowledge of standardized processes and procedures for evaluating medical support operations business practices.
Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy.
Ability to pay attention to the minute details of a project or task.
Experienced in the use of web-based technology and Microsoft Office applications such as Word, Excel, and PowerPoint.
What We Offer
Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. We offer a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity.
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