Medical Assistant- Telephonic

Are you an experienced Medical Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:  

• Take calls from members and set them up in the program and coordinate/transfer them to case managers. 

• Will be working on the computer all day (some phones) setting up cases in the system so that the Case Managers/Service Coordinators can start working on

• 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.

• Data enter assessments and authorizations into the system.

Hours for this Position: Monday-Friday 8am-5pm

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience ($15-$17/hr.)

• Benefits offered, Medical, Dental, and Vision

• Fun and positive work environment