Health Care Program Coordinator - Harrisburg, United States - Clark Resources
Description
Health Care Program Coordinator:
Location:
Harrisburg, PA, 17110:
Skills:
Health Care Program Coordinator:
Responsibilities:
- Manage and balance priorities including, but not limited to, personal task queue, reports, and projects.
- Build Long Term Services and Support (LTSS) Authorizations based on the Participant Care Plans and follow scope of approval guidelines.
- Setup Long Term Services and Support (LTSS ) services based on Participant Care Plans through Provider outreach and Service Coordinator collaboration.
- Complete indepth research to correct authorization discrepancies.
- Effectively communicate authorization decisions with Providers and Service Coordinators.
- Conduct comprehensive authorization reviews for denied claims and report on findings and necessary action plan.
Requirements:
- High school graduate with 3+ years experience in a professional office setting within a healthcare environment, or a 4 year college degree from an accredited institution.
- Strong organizational and communication skills
- Ability to work independently and as part of a team
- Knowledge of relevant regulations and guidelines
- Proficiency in Microsoft Office and other relevant software
Application Question(s):
- Are you willing to submit to a background check?
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
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