Care Connector--Medicaid HMO
Location: Charleston South Carolina
Description: Keystone Mercy Health Plan is presently looking of Care Connector--Medicaid HMO right now, this occupation will be placed in South Carolina. Further informations about this occupation opportunity kindly read the description below. The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The! Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will conduct surveys and provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care. Bright Start Care Connector will facilitate both maternity and delivery authorizations and refer to Care Management when appropriate. The CC will complete required assessments and documentation within the timeliness guidelines.
Education and Experience:
High School Diploma or equivalent
Experience as a Medical Assistant or in another position with comparable responsibilities.
Experience handling multiple call li! nes and triaging calls.
Minimum of two years of exper! ience dealing with the public in a healthcare setting.
Maternal / Child experience preferred.
Medical terminology, ICD, CPT and coding experience.
Other Skills:
Proficient PC skills in a Windows based environment including word processing, spread sheets and working in database programs.
Working knowledge of Plan Benefits and Services is preferred
Proven ability to keep accurate and timely records and documentation according to established processes
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Keystone Mercy Health Plan.
If you interested on this occupation just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Mon, 18 Mar 2013 19:16:01 GMT