Care Review Processor
Reference Code: 5476
Care Review Processor
Location: Long Beach CA 90802
Job Type: Contract
Duration: 6 months, possibility of extension
Pay Rate: $15.00/hour
Our client, a Fortune 500 multi-state healthcare organization, is looking to hire a Care Review Processor who will be working within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Members that require hospitalization and/or utilization review for other healthcare services. The person will be checking eligibility and verifying benefits, obtaining and entering data into systems, processing requests, and triaging members and information to the appropriate Health Care Services staff to ensure the delivery of high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for Members.
Position will be both remote, however contractors may be requested to work onsite as needed (with possibility for one week per month).
Day to day responsibilities include: contractors would be on a phone queue, answering calls and processing assigned cases. Productivity will be monitored based on SOP’s.
Work Shift: Tuesday-Saturday—10:00am-06:30pm/ 08:30-05:00pm; Sunday- Thursday- 10:00am-06:30pm/ 08:30-05:00pm
Candidate will need to be able to work holidays, weekends, and extended hours.
Candidate must be local to local to Los Angeles/Orange County CA to qualify for the role. Managers prefers candidates closer to Long Beach area.
Seeking candidates with flexible schedules, as work shifts are updated and based on business needs.
Admin and communication skills.
For more information, please call our Recruiter directly at (847)610-9013. To submit your application, click on the 'Apply for Job' link below or send your resume directly to Joseph.Abeto@bluestonestaffing.com.
blueStone Staffing recruits top talent for some of the most desired companies on a contract, contract-to-hire and direct hire basis. We take pride in presenting our candidates with great opportunities they may not have exposure to elsewhere. By working with blueStone, you'll have access to rewarding job opportunities, competitive compensation, and industry leading benefits packages. We look forward to helping you land your next career opportunity and achieving your goals!