Care Management Support Assistant - PartTime
Core
Provides non-clinical administrative support for care management, including processing referrals, verifying benefits eligibility, and coordinating service delivery for members.
Role type
Administrative Care Management Support Assistant
Builds
Referral workflows and care coordination for home health and infusion therapy services
Domain
Healthcare administration / Insurance utilization management
Required skills
Medical billing knowledge, Medicare/Medicaid criteria knowledge, Medical authorization experience, CPT/HCPC/ICD-10 code knowledge, HIPAA compliance, Customer service
Preferred skills
Wound care/Ostomy supplies experience, Microsoft Office (Word, Outlook, Excel), Medical billing experience
Technologies
Microsoft Office, Health Plan contract systems, Background screening systems
Responsibilities
Review inbound referrals and correspondence for processing, Screen physician's orders and documentation, Verify benefits coverage and eligibility, Communicate with patients to confirm demographics and explain services, Coordinate timely delivery of care with providers, Maintain detailed documentation of interactions
Seniority
Entry to Mid-level, Part-time