Pay Range: $22/hr -$24/hr

Benefits:
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, (paid time , paid sick and safe time , hours of paid vacation time, weeks of paid parental leave, paid holidays annually - AS Applicable)

About the Role:

• We are looking for individuals to join our Care Access and Monitoring (CAM) team to provide clerical and data entry support for Client Members requiring hospitalization and/or utilization review for healthcare services.
• This role involves verifying benefits, processing requests, and triaging members to ensure high-quality healthcare services are delivered according to State and Federal requirements.

Responsibilities

• Provide computer entries of authorization request/provider inquiries by phone, mail, or fax 
• Verify member eligibility and benefits
• Determine provider contracting status and appropriateness
• Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes)
• Verify inpatient hospital census-admits and discharges
• Respond to authorization requests submitted to CAM via phone, fax, and mail
• Collaborate with other departments to enhance continuity of care for members
• Contact physician offices for missing information or additional details as requested
• Provide excellent customer service for internal and external customers
• Maintain confidentiality and comply with HIPAA regulations
• Participate in team meetings and meet productivity standards

Education Qualification

• Previous healthcare experience preferred

Required Skills

• Clerical skills
• Ability to multitask
• Computer proficiency
• Attention to detail
• Ability to learn multiple computer systems Please note that this role is fully remote with no specific location restrictions.
• The expected schedule is Monday to Friday, 8:30 am to 5:00 pm in the temp’s time zone.