Specialists Contractor Contract Strategic Staffing SolutionsDetroit MI2 days ago

2 weeks ago


Detroit, United States Strategic Staffing Solutions Full time

Job Title: Specialists Contractor

Duration: 12 Month contract; chance to extend/convert to full time.

Location: Detroit, MI (HYBRID)

Pay : $ 37/HR

Industry: Healthcare Industry

Required Qualifications:

High School Graduate or GED equivalent required. Two (2) years of college preferred. Two (2) years’ experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other health care related field preferred. Knowledge post-acute care functions and processes or discharge readiness activities may be preferred for some positions

Job Responsibilities:

Providers and UM reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning. May support scheduling physician to physician calls. Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities.

Job ID: JOB-236038
Publish Date: 13 Jun 2024

Tagged as: Specialists Contractor



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