Clinic hiring for admin responsible for home health coordination of medical equipment and general case management.
Pay rate: $18-$20/hour
Schedule: Monday – Friday, 8:30am-5pm, 30 min lunch
Type: temp to hire
Key Responsibilities
- Complete prior authorization processes for Durable Medical Equipment (DME), Home Health services, Specialty Services, and, in some cases, medications.
- Conduct telephonic discussions with healthcare providers, patients, family members, and insurance carriers to obtain clinical information and explain authorization or coverage determinations.
- Maintain ongoing tracking and documentation of referrals, authorizations, and benefit determinations, including coverage guidelines, contractual limitations, and reimbursement decisions, to promote team awareness, continuity of care, and patient safety.
- Work independently while collaborating with medical providers and non-clinical partners to coordinate patient care and ensure timely access to services.
- Act as a patient advocate with insurance carriers, when appropriate, to help secure timely approval of medically necessary supplies and services.
Requirements
Education & Training
- High School Diploma or GED required.
- Associate degree in Healthcare Administration, Medical Assisting, Health Information Management, or a related healthcare field preferred.
- Certification as a Medical Assistant, Referral Coordinator, or other healthcare-related certification is preferred but not required.
- Ongoing continuing education related to healthcare coordination, insurance authorization processes, or patient care is encouraged.
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How to apply.
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