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7 jobs found for title abstractor in florida

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    • tampa, florida
    • temporary
    • $21 per hour
    Are you looking to use your skills in a new Member Risk Adjustment Coordinator position? This client is Hiring Now!  The client is looking for a candidate that is able to schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement. The ideal candidate for this position will possess a High school diploma or equivalent, 0-2+ years of customer service or medical office experience, Experience with preserved medical record retrieval systems preferred, Billing or coding experience preferred and Beginner level Excel skills. If this position interests you, apply today! salary: $21 - $21 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Assist members with scheduling office visits with primary care provider. • Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding. • Requests medical records by making outbound phone calls to provider groups. • Completes supplemental medical records requests using Excel files. • Assist with providing updated member and provider information to vendors. • Directs medical record requests to the responsible party. • Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues. • Ensure follow up on member appointments or other tasks designated.SkillsRisk - ManagementMulti-taskingMicrosoft OfficeBillingQualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Member Risk Adjustment Coordinator position? This client is Hiring Now!  The client is looking for a candidate that is able to schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement. The ideal candidate for this position will possess a High school diploma or equivalent, 0-2+ years of customer service or medical office experience, Experience with preserved medical record retrieval systems preferred, Billing or coding experience preferred and Beginner level Excel skills. If this position interests you, apply today! salary: $21 - $21 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Assist members with scheduling office visits with primary care provider. • Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding. • Requests medical records by making outbound phone calls to provider groups. • Completes supplemental medical records requests using Excel files. • Assist with providing updated member and provider information to vendors. • Directs medical record requests to the responsible party. • Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues. • Ensure follow up on member appointments or other tasks designated.SkillsRisk - ManagementMulti-taskingMicrosoft OfficeBillingQualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • tampa, florida (remote)
    • temporary
    • $18 per hour
    Are you looking to use your skills in a new Program Coordinator position? One one of our top clients is HIRING NOW remotely!  Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Education/Experience: High school diploma or equivalent. 2-3 years managed care or physician’s office experience. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. If this position interests you, apply today! salary: $18 - $18 per hourshift: Firstwork hours: 9:30 AM - 6:30 PMeducation: High` SchoolResponsibilities Program Coordinators works in our Inbound Call Center which follows established metrics: Talk time, Hold Time, After Call Work. Liaison between Members/Provider and the Case Coordinator. Assist with Long Term Care (Member/Provider) calls for Sunshine Health. Triage/Route calls correctly. Unless member/provider insists that they only want to speak to Care Coordinator, the team will try to resolve issues brought up by the caller before the call is routed to CC or Sup. Assist with providing status of services and supplies. Assist to resolve missed visits, missed transportation or missed supplies - reaching out to Provider for status and update authorizations as needed. Review authorizations and assist with correcting authorizations, as allowed and as needed, to match the Member’s Person Center Care Plan. Helping member/authorized representative with filling out forms that the health plan mails out.  SkillsClaims ProcessingSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Program Coordinator position? One one of our top clients is HIRING NOW remotely!  Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Education/Experience: High school diploma or equivalent. 2-3 years managed care or physician’s office experience. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. If this position interests you, apply today! salary: $18 - $18 per hourshift: Firstwork hours: 9:30 AM - 6:30 PMeducation: High` SchoolResponsibilities Program Coordinators works in our Inbound Call Center which follows established metrics: Talk time, Hold Time, After Call Work. Liaison between Members/Provider and the Case Coordinator. Assist with Long Term Care (Member/Provider) calls for Sunshine Health. Triage/Route calls correctly. Unless member/provider insists that they only want to speak to Care Coordinator, the team will try to resolve issues brought up by the caller before the call is routed to CC or Sup. Assist with providing status of services and supplies. Assist to resolve missed visits, missed transportation or missed supplies - reaching out to Provider for status and update authorizations as needed. Review authorizations and assist with correcting authorizations, as allowed and as needed, to match the Member’s Person Center Care Plan. Helping member/authorized representative with filling out forms that the health plan mails out.  SkillsClaims ProcessingSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • fort lauderdale, florida (remote)
    • temporary
    • $21 per hour
    Are you looking to use your skills in a new Program Coordinator position? One of our top clients is HIRING REMOTELY in Florida!  Education/Experience: High school diploma or equivalent. 2-3 years managed care or physician’s office experience. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology. If this position interests you, apply today! salary: $21 - $21 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.SkillsSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Program Coordinator position? One of our top clients is HIRING REMOTELY in Florida!  Education/Experience: High school diploma or equivalent. 2-3 years managed care or physician’s office experience. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology. If this position interests you, apply today! salary: $21 - $21 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.SkillsSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • fort lauderdale, florida
    • temporary
    • $18 per hour
    Are you looking to use your skills in a new Referral Specialist position? One of our top clients is HIRING!  This is an onsite positon.  Education/Experience required by the client: High school diploma or equivalent. Knowledge of medical terminology preferred.0-2 years of experience If this position interests you, apply today! salary: $18 - $18 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.SkillsSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Referral Specialist position? One of our top clients is HIRING!  This is an onsite positon.  Education/Experience required by the client: High school diploma or equivalent. Knowledge of medical terminology preferred.0-2 years of experience If this position interests you, apply today! salary: $18 - $18 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.SkillsSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • fort lauderdale, florida (remote)
    • temporary
    • $19 per hour
    Are you looking to use your skills in a new Program Coordinator position? One of our top clients is HIRING NOW!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position will possess a High school diploma or equivalent, 2-3 years managed care or physician’s office experience, Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. If this position interests you, apply today! This position is REMOTE - candidate may need to go into office for trainings and meetings. salary: $19 - $19 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.SkillsSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Program Coordinator position? One of our top clients is HIRING NOW!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position will possess a High school diploma or equivalent, 2-3 years managed care or physician’s office experience, Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. If this position interests you, apply today! This position is REMOTE - candidate may need to go into office for trainings and meetings. salary: $19 - $19 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.SkillsSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • jacksonville, florida
    • temp to perm
    • $22 - $25 per hour
    Are you an accurate warehouse worker with a great eye for detail? Do you have experience with sales, operations, and customers through planning and implementation? Then this is for you!  Randstad is looking for Project Coordinator to who is self motivated, pays attention to detail, works under dead lines, and willing to go above and beyond. As well as, grow with in skills and a wonderful company!  If you or anyone you know would be interested, please apply and submit a resume! Thank you! salary: $22 - $25 per hourshift: Firstwork hours: 7 AM - 4 PMeducation: BachelorResponsibilitiesExcellent verbal and written communication skills Highly customer service oriented Ability to prioritize and re-prioritize as situations and needs change throughout the workday Ability to multi-task and organize workflow to manage daily responsibilities, meet deadlines and prioritize work strong analytical and problem solving skills Excellent attention to detail and follow through Ability to work under deadlines and specific time frames Ability to develop and maintain positive working relationships with internal and external customers Ability to demonstrate initiative and to work with minimum supervisionSkillsProject Management Skills and ToolsProject ManagerPlanningCustomer ServiceProblem SolvingMS ProjectProject ManagementQualificationsYears of experience: 2 yearsExperience level: Entry LevelRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you an accurate warehouse worker with a great eye for detail? Do you have experience with sales, operations, and customers through planning and implementation? Then this is for you!  Randstad is looking for Project Coordinator to who is self motivated, pays attention to detail, works under dead lines, and willing to go above and beyond. As well as, grow with in skills and a wonderful company!  If you or anyone you know would be interested, please apply and submit a resume! Thank you! salary: $22 - $25 per hourshift: Firstwork hours: 7 AM - 4 PMeducation: BachelorResponsibilitiesExcellent verbal and written communication skills Highly customer service oriented Ability to prioritize and re-prioritize as situations and needs change throughout the workday Ability to multi-task and organize workflow to manage daily responsibilities, meet deadlines and prioritize work strong analytical and problem solving skills Excellent attention to detail and follow through Ability to work under deadlines and specific time frames Ability to develop and maintain positive working relationships with internal and external customers Ability to demonstrate initiative and to work with minimum supervisionSkillsProject Management Skills and ToolsProject ManagerPlanningCustomer ServiceProblem SolvingMS ProjectProject ManagementQualificationsYears of experience: 2 yearsExperience level: Entry LevelRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • fort lauderdale, florida (remote)
    • temporary
    • $20 per hour
    Are you looking to use your skills in a new Program Coordinator position? This client is Hiring Now!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position will possess a High school diploma or equivalent, 2-3 years managed care or physician’s office experience, Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. If this position interests you, apply today! This position is REMOTE - candidate MUST be located in GA.salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations.SkillsClaims ProcessingSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Program Coordinator position? This client is Hiring Now!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position will possess a High school diploma or equivalent, 2-3 years managed care or physician’s office experience, Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. If this position interests you, apply today! This position is REMOTE - candidate MUST be located in GA.salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Coordinate services with community based organizations.SkillsClaims ProcessingSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.

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