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Patient Care Coordinator

Company: The Judge Group
Location: San Antonio
Posted on: January 16, 2022

Job Description:

Location: San Antonio, TX
Salary: Competitive Range
Description: The Judge Group is heading a search for Patient Care Coordinator in Texas State for one of the renowned client. This position is a Remote Role (Anywhere in Texas State.)
Please find the attached - information.
Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team.
Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff.
Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.
This function includes intake, notification and census roles.
Primary Responsibilities - Manage administrative intake of members - Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers - Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles - Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review ? Handle resolution/inquiries from members and/or providers - This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. - You also must be able to work a flexible schedule that includes evening hours.
Job qualification; Required Qualifications
HS Diploma or GED ? 2+ years of customer service experience - Experience with MS Word, Excel and Outlook Preferred Qualifications ? Experience working within the health care Industry and with health care insurance - Experience working in a hospital, physician's office or medical clinic setting ? A clerical or administrative support background - Knowledge of ICD-9 and CPT codes - Experience working in a call center
What are the hours? ( Training hours?) 9-6; training could be 8-5
If interested, Kindly share your resume at
This job and many more are available through The Judge Group. Find us on the web at

Keywords: The Judge Group, San Antonio , Patient Care Coordinator, Other , San Antonio, Texas

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