Medicare Services Coordinator Opportunity!
Term: Temporary with the possibility to go permanent!
Location: Commerce (Onsite Only)
Schedule: M-F 8:00 am to 5:30 pm
Pay range: $24HR-$26HR Non ngeotiable
Minimum Requirement
1. High School diploma or equivalent required.
2. Bachelor's in social work (or related field) with senior plans and patient-centric experience, or Medical Assistant or LVN desirable.
3. Minimum 3 years’ experience working in a healthcare customer service/care coordination environment; knowledge of plan benefits and regulations governing Medi-Cal, Commercial, Medicare, and other government and commercial programs.
4*. Minimum 3 years of experience in a managed health care environment, *preferably IPA, HMO, or Health Plan, preferred, in addition to experience working with an ethnically diverse population.
5*. Bilingual English/Spanish i*s required.
Essential Duties
- Coordinates and assists with incoming and outbound calls, such as patient appointments, prescriptions, authorizations, and referrals.
- Documents succinctly and efficiently in EHR and CRM systems
- Creates and maintains tracking reports for onboarding and follow-up calls as needed.
- Advocates and/or escalates as needed complex member/patient inquiries and other issues with internal/external functions.
- Facilitates communication with providers, clinic staff, and external service providers to ensure authorizations and access to care.
- Responsible for staying current on community resources and attending resource-specific training as required.
- Follow up as needed to verify that needs are being met, services are being delivered.
- Serves as the point person during the onboarding process for patients, providers, staff, and external vendors regarding benefits, service requirements, and care coordination.
- Gather relevant information during the onboarding process to facilitate care coordination and handoffs.
- Perform other duties as assigned.
Pay: $24.00 - $26.00 per hour
Benefits:
- Dental insurance
- Health insurance
Application Question(s):
- Knowledge of Medi-Cal, Medicare, and Commercial insurance plans
Education:
- High school or equivalent (Required)
Experience:
- working for a healthcare organization: 3 years (Required)
Language:
Work Location: In person
