Review Services Coordinator Possible To Work From Home After 3 Months Onsite
Posting ID: JP-002455402
The Review Services Coordinator is a critical role in adjudicating pre-authorization coverage requests for all types of services - medical and DME. This role includes handling a high volume of incoming calls from members and providers, managing multiple requests simultaneously and accurately and easily identifying requests that require a higher level of clinical review. 1. Responsible for processing medical authorization requests from internal and external providers. 2. This includes verifying insurance coverage, eligibility, riders etc. to ensure that OIC/NCQA/CMS timeliness measures are met. 3. Also responsible for answering incoming calls from providers and members requesting status.
Medical, Coding, ICD*, CPT, health insurance, Pre authorizations, benefits, eligibility, billing
Top Skills Details:
Medical, Coding, ICD*, CPT,health insurance, Pre authorizations, benefits, eligibility, billing
Additional Skills & Qualifications:
Minimum Knowledge/Skills Requirements Intermediate Computer skills, medical terminology, Medicare and strong communication skills. Computer skills in Windows environment, including MS Word and Excel and Kaiser Permanente applications. Communication 2years of Admin Support
About Aston Carter:
At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email firstname.lastname@example.org for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
Recruiter: Jean Chambers
Phone: (410) 579-3072