Deans Professional Services
Location
Mcallen, TX | United States
Job description
Dean’s Professional Services is now hiring a qualified, patient-care-focused Program Coordinator 1 to work for a State Hospital facility in the McAllen, TX area- Remote.
We are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities!
Program Coordinator 1 is responsible for assisting in activities related to the medical and psychosocial aspects of utilization and coordinated care.
Job 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 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.
Job Requirements:
- High School Diploma Required.
- Knowledge of medical terminology. Preferred.
- Knowledge of Medicaid. Preferred.
- Excellent computer skills. Required.
- Proficient in Word, Excel, and PowerPoint. Required.
- Call center experience - Fast pace. Preferred.
Job Details:
- Schedule varies; Typically, M-F hours between 8 am -5 pm CST
- Fully Remote in McAllen, TX area.
- $17/hr starting + benefits (Based on Experience)
- Full benefits – healthcare, dental, vision, 401k program.
- Temp-to-Hire opportunity
Dean’s Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information please visit .
Job tags
Salary
$17 - $19 per hour
