Care Coordinator
The Judge Group Inc.

Job Info

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Location: Norfolk, VA
Salary: Depends on Experience
Description: Our client is currently seeking a Care Coordinator in Norfolk, VA or Nashville, TN!

Job Details: Ongoing Contract (W2, Weekly Pay, Benefits Available)
Location: Fully On-site in Norfolk, VA or Nashville, TN

Hours: Monday-Friday 8:30AM-5:00PM

Compensation: Competitive and based on experience

This job will have the following responsibilities:

• Responsible for coordinating cases for precertification and prior authorization review.
• Managing incoming calls or incoming post services claims work.
• Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
• Refers cases requiring clinical review to a Nurse reviewer.
• Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
• Responds to telephone and written inquiries from clients, providers and in-house departments.
• Conducts clinical screening process.
• Authorizes initial set of sessions to provider.
• Checks benefits for facility based treatment.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
  

Qualifications & Requirements:

• High school diploma/GED
• 1 year of customer service or call-center experience
• Medical terminology training and experience in medical or insurance field preferred.
  

All qualified and interested candidates, please send your most updated resumes to edemey@judge.com for immediate consideration!

Contact: edemey@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

This job has expired.