Clinical Coordinator

Company: Modis
Location: Monterey Park
Posted on: February 17, 2021

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