Program Coordinator

  • location: Buffalo, NY
  • type: Permanent
  • salary: $45,000 - $55,000 per year

job description

Program Coordinator

Seeking an experienced Program Coordinator for a career opportunity. This is a direct hire opportunity! Position is located in New York (Open to the Buffalo, Albany, or Long Island City) The Program Coordinator will be responsible for assisting in activities related to the medical and psychosocial aspects of utilization and coordinated care. Qualifications: -  High school diploma or equivalent - 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties - 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  

Responsibilities

 

- 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

- Data enter assessments and authorizations into the system

- Coordinate services with community based organizations.  Attend marketing and outreach meetings as directed to represent the plan

Location: Buffalo, Long Island City, or Albany, New York

Hours: Monday-Friday 8am-5pm

Salary: DOE

Skills

  • Medical Terminology (2 years of experience is required)
  • Medical Office Setting (2 years of experience is required)
  • Managed Care (2 years of experience is required)
  • Multi-tasking
Education

  • High School (required)
Qualifications

  • Years of experience: 3 years
  • Experience level:Experienced
Shift: First

Working hours: 8 AM - 5 PM

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