Review Services Coordinator
Company: Aerotek
Location: Renton
Posted on: February 24, 2021
|
|
Job Description:
Description:The Review Services Coordinator is a critical role
in adjudicating pre-authorization coverage requests for all types
of services - medical and DME. This role includes handling a high
volume of incoming calls from members and providers, managing
multiple requests simultaneously and accurately and easily
identifying requests that require a higher level of clinical
review.Skills & Qualifications:Minimum Experience 1-2 years
healthcare experience with emphasis in health insurance
includingPre authorizations, Referral Coordinating, Benefits and
Eligibility, Billing.Working with the public with emphasis on
problem solving and conflict resolution.2 years' experience with
on-line computer systems and Microsoft Office.1 year Phone customer
service experience.Intermediate Computer skills, medical
terminology, Medicare and strong communication skills.Computer
skills in Windows environment, including MS Word and Excel and
Access. ICD9/10 preferred.Communication and interpersonal
skills.Working knowledge of Health Plan benefits and includes
reading and interpreting contracts and coverage and understanding
claims payment.Basic understanding of Medicare regulations,
particularly those pertaining to the provision of Part B
services.Education Minimum High School Diploma/GEDPreferred
ExperienceExperience with Health Plan contracts & coverage.Health
Plan claims experience.Medical Coding experience with ICD-9/10, CPT
and HCPCS.Soft Skills Required:-Independent worker, able to utilize
resources prior to reaching out to management, have lot of
regulations and material to read through. Candidates need to be
willing to read through processes and try to find information on
their own.-Flexible with strong critical thinking skills - lot of
gray area in procedures, people used to rigid structure/black and
white procedures do not do well-Time management skills - lot of
independent work, candidates from strict adherence or metrics based
environment do wellExperience Level:Entry - Intermediate Level
About Aerotek:We know that a company's success starts with its
employees. We also know that an individual's success starts with
the right career opportunity. As a Best of Staffing Client and
Talent leader, Aerotek's people-focused approach yields competitive
advantage for our clients and rewarding careers for our contract
employees. Since 1983, Aerotek has grown to become a leader in
recruiting and staffing services. With more than 250 non-franchised
offices, Aerotek's 8,000 internal employees serve more than 300,000
contract employees and 18,000 clients every year. Aerotek is an
Allegis Group company, the global leader in talent solutions. Learn
more at Aerotek.com.The company is an equal opportunity employer
and will consider all applications without regards to race, sex,
age, color, religion, national origin, veteran status, disability,
sexual orientation, gender identity, genetic information or any
characteristic protected by law.
Keywords: Aerotek, Renton , Review Services Coordinator, Other , Renton, Washington
Click
here to apply!
|
Didn't find what you're looking for? Search again!
Other Other JobsCall Center Representatives Description: We're currently seeking work from home customer service, appointment setting, telemarketing and data entry representatives. You're primary responsibility is to give specialized guidance Company: Atona Location: Olympia Posted on: 02/25/2021 Usher (Entertainment Event) Description: Title: Usher br br br Adecco Group has an immediate opening for Usher entertainment event jobs for a short term, temporary contract opportunity with a production company in Redmond, WA 98052 (more...) Company: Location: Redmond Posted on: 02/25/2021 Sr. Architect - Cloud Application & Data Description: Job Number 200000008N Job Location Redmond, WA The worldwide pioneer in the creation of interactive entertainment, Nintendo Co., Ltd., of Kyoto, Japan, manufactures and markets hardware and software (more...) Company: Nintendo of America Inc Location: Redmond Posted on: 02/25/2021 VIP Host Description: VIP host: 8-10 People needed br br Pay 10.50 br High end, high professionalism. 1-3 shifts per week driven by ticket sales. br br Tues/Wed 6pm-11:30pm br Thurs-Sat 2pm - 11:30pm (more...) Company: Location: Redmond Posted on: 02/25/2021 Box Office Description: Box Office Attendant: 6-8 positions br pc skills testing br 10.50 br br Tues /Wed 5:30pm-9:30pm br Thurs-Sat 1:30pm-9:30pm br Sunday 10:30am iquest 5:30pm br br Ticketing, Company: Location: Redmond Posted on: 02/25/2021 Data & AI Community & Field Advocacy Lead Description: Data AI Community Field Advocacy Lead Save save Data AI Community Field Advocacy Lead to job cart ul li Job number 949900 li Date posted Jan 4, 2021 li Travel 0-25 li Profession Business (more...) Company: Microsoft Corporation Location: Redmond Posted on: 02/25/2021 Chiropractor $48,000 Year + Bonus +Loan Forgiveness Description: Chiropractor 48,000 Year Bonus Loan Forgiveness Potential Company: CAS Asssoc Location: Olympia Posted on: 02/25/2021 USHER Description: Usher: br 50 People needed br Two types, inside outside. br Big top or concessions. br br Tues/Wed 6:30pm - 11:30pm br Thursday- Saturday 2:30pm - 11:30pm br Sunday 11:30am (more...) Company: Location: Redmond Posted on: 02/25/2021 Food and Beverage Service Description: Food and Beverage service: 45 People Needed br br Pay 10.50 br Tues/Wed 5:30pm - 10:30 pm br Thurs-Sat 1:30pm - 10:30pm br Sun 10:30am - 7:30pm br br Selling drinks and food to the (more...) Company: Location: Redmond Posted on: 02/25/2021 Crew Member - Immediate Hire Description: No matter who you are or where you come from, you are welcome here. At MOD, we embrace individuality, support human growth, and recognize the value in second chances. br br Every day and in every (more...) Company: MOD Pizza Location: Redmond Posted on: 02/25/2021 |