Care Review Processor

 In

Website Administrative

Reference Code: 6685

Position Title: Care Review Processor II, 32353-1
Duration: 6 months
Desired Start Date: 7/18/2022 – 1/21/2023
Location: REMOTE
PR: $17.50/hr W2

100% remote but candidates need to live in TEXAS. Work Hours M-F 8:00am-4:30 PM with 30 minute lunch.
Must be able to time manage well, self-sufficient and can utilize Microsoft Excel, Word, Outlook to its full benefit. Intermediate is sufficient. Must have customer service background with some healthcare experience.
• What are the day to day responsibilities? To follow up and coordinate services identified during annual assessments, which contributes to a good quality of daily living.
b. They will review authorizations for accuracy with our systems QNXT, CCA Clinical Care Advance, UMK2
c. Make outbound calls to members to confirm services/items are in place and satisfaction. Outbound calls to providers to coordinate services that are not in place. Will follow up until delivery is confirmed.
d. Must be able to communicate amongst other departments within LTSS effectively

 

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