Operations Specialist - Must reside in New York
Core
Clerical, administrative, and coordination support for Care Management and Member Services, including care plan support, service ordering, and member interaction assistance.
Role type
Operations Specialist (Member Services)
Builds
Care plans, service authorizations, and member support workflows
Domain
Healthcare / Medicaid & Medicare
Deliverable
client delivery
Required skills
Care plan support, service ordering, member intake, HIPAA compliance, document verification, Medicare/Medicaid knowledge, Microsoft Office, geriatric care coordination
Preferred skills
Medical billing/terminology experience, field experience with therapists
Technologies
Microsoft Office
Responsibilities
Support provision of care plans and service authorizations, answer and make calls regarding member care, order services and supplies, provide backup support to Member Services Representatives, verify documents, adhere to HIPAA and state regulations
Seniority
Entry-level, individual contributor