Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
The Care Coordinator I will coordinate the with the Care Team Lead and Care Team Member Services Manager to ensure the team has the resources required to satisfy member enrollment and maintenance in the IPC Copay Assistance Program.
Essential Duties and Functions :
- Provide client support where needed
- Coordinate member implementation calls with Care Team Lead
- Provide adhoc claims review as required
- Identify utilizing patients, review history, determine next coverage date
- Assist patient with enrollment in the manufacturer’s program
- Maintain patient database for follow-up, tracking and reporting
- Receive notification of new patient’s prior authorization / or review daily rejected and paid claims
- This position will include job duties that require risk designations for access to Electronic Protected Health Information (PHI) in the course of their job responsibilities
- Other duties may be assigned
Competencies :
- Planning / organizing the individual prioritizes and plans work activities and uses time efficiently. Makes good and timely decisions that propels our company forward
- Interpersonal skills the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things.
Creates an environment where teammates feel connected and energized.
- Written and Oral communication Communicate a concise message that resonates every time. The individual speaks clearly and persuasively in positive or negative situations and demonstrates group presentation skills.
- Problem solving Create innovative ways for our customers and our company to be successful. The individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality.
- Quality control the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.
- Adaptability the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected vents.
Qualifications :
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Required
- Minimum education required High School Diploma and / or GED with 2 to 3 years’ experience directly related to the duties listed
- Excellent communication skills
- Proficient with MS Office Suite
- Professional telephone demeanor
- Ability to maintain a high level of confidentiality
Preferred
- Certified Pharmacy Technician (CPhT.)
- Multilingual
Target Pay
$20.00 per hour
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
Patient Care Coordinator
As a Patient Care Coordinator, you will play a crucial role in providing exceptional customer service and coordinating patient care. Orthodontic Specialists of Oklahoma is seeking a highly motivated and compassionate Patient Care Coordinator to join our team. Collaborate with the dental team to ensu...
Hospice Education and Clinical Outcomes Coordinator (RN)
Hospice Education and Clinical Outcomes Coordinator (RN). At A Path of Care Hospice, we focus on improving comfort and reducing pain while helping control disease symptoms for an improved quality of life. Our skilled care and support provide emotional and spiritual support while involving patients a...
Foster Care Services Coordinator
Foster Care Workers seek to locate additional foster families in the community and will work with families to become certified foster parents through Oklahoma Foster Care! Foster Care Workers support foster families and guide them through the Child Welfare system as they are caring for children. We ...
Bereavement Coordinator/Volunteer Coordinator
We work directly with their doctors to develop individualized care plans to ensure our patients receive the best care possible to heal. As a Bereavement Coordinator you will coordinate the assessment and delivery grief counseling needs and services to ensure timely and appropriate services are provi...
Care Transitions Coordinator Home Health
By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Are you in search of a new career opportunity that makes a meani...
Staffing Coordinator Licensed Practical Nurse (LPN)
At Forest Hills Care & Rehab, we deliver the highest quality of care for every resident through our most valuable asset: you. Forest Hills Care & Rehabilitation Center -. We seek compassionate and thoughtful individuals who share our passion for exceptional care in senior living. Forest Hills Ca...
Memory Care Coordinator
The Memory Care Coordinator is responsible for the day to day operations and the provision of quality care to our Memory Care residents living in the Community under the direction of the Director of Resident Care. The Memory Care Coordinator trains, supervises, and schedules staff members. He or she...
Care Transitions Coordinator Home Health
By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Are you in search of a new career opportunity that makes a meani...
Care Coordinator- Hope Team
Coordinate care across the spectrum of health service, including access to high-quality physical (both acute and chronic) and behavioral health care. Streamline plans of care across the Care Team. Coordinate care with external health care providers such as pharmacies, PCPs, FQHCs, and DCOs, as well ...
Patient Care Coordinator on site
Join the Coram/CVS team as a Patient Care Coordinator!. Become part of the CVS Health family by joining a growing sector of the healthcare industry, offering a rewarding career and opportunity for advancement. This purpose guides our commitment to deliver enhanced human-centric health care for a rap...