Clinical Coordinator
Company: Modis
Location: Monterey Park
Posted on: February 17, 2021
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Job Description:
Serves as initial point of contact for providers and members in
the medical management process by telephone or correspondence.
Assists in ensuring members are effectively and efficiently managed
through the medical/disease management process as needs require.
Within extension of authority, assigns length of stay on acute
inpatient admissions, as well as approves specific home health,
DME. Process authorization requests and facilitates referrals.
Assists with system letters, requests for information and data
entry. Provides administrative/clerical support to medical and
disease management.Responsibilities:Entry level intake (faxed in
auth's, calls left on voicemail)Select support for Case Manager
such as mailings, surveys.Data entry including authorization forms,
high risk member information, verbal HIPPA authorizations, and SNF
admissionsSpecified template letters for CMCreate family
filesSpecified callbacksAssist HMO with IPA mail authorization
formsMail HIPAA forms to membersSupport to Senior/Lead HCSResponds
to inquiry calls on a limited basisEducation/Requirements:Generally
requires minimal experience.Generally requires moderate experience
in basic computer functions and software applications0-1 years
experience
Keywords: Modis, Monterey Park , Clinical Coordinator, Healthcare , Monterey Park, California
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