Job Information
Robert Half Care Coordination Representative in Sacramento, California
Description
Robert Half Healthcare is looking for a friendly Care Coordination Representative! This position is a temporary position in the Sacramento area with a major healthcare provider. The Care Coordination representative demonstrates the ability to read, comprehend, understand and interpret complex medical guidelines to determine if appropriate information has been provided in utilization reviews before transmission to external payers for review of medical necessity for Inpatient admission.
This person should use effective interpersonal skills in supporting the complex interactions involved in communicating with the Care Coordination staff, the payers, internal and external departments within the organization and other vendors.
Duties:
Identifies missing information from utilization reviews, or those needing correction and escalates them to the proper supervisor
Transmits error-free reviews to the correct payer
Responds to payer requests through voicemail, email, mail, fax and phone calls
Provides support in denial and authorization research, patient eligibility research and documentation of certified days in systems
Run daily, weekly, monthly and/or ad hoc reports for immediate distribution
Process high volume of data from spreadsheets or databases or any other formats and entering them into systems, databases and files
If interested in the Care Coordination Representative position, please contact Sadaf Ahmadi at 916.245.1589
Requirements
We look forward to hearing from you!
Requirements:
Comfortable use of electronic applications such as: Midas, Epic, MS4, DI, Shipper, IDX, Ecin, Right fax, and other computer programs -Preferred
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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