This job was posted by https://www.azjobconnection.gov : For more
information, please see: https://www.azjobconnection.gov/jobs/6453465
Program Coordinator 1
BCForward is currently looking for
Program Coordinator 1 (Remote)
Position Title: Program Coordinator 1 (Remote)
Location: Remote
Expected Duration: 6+ months.
Estimated Start Date: 5/20/2024
Pay Rate: \$25/hr on W2
Position Purpose:
- Assist in activities related to the medical and psychosocial aspects
of utilization and coordinated care.
Education/Experience:
- High school diploma or equivalent.
- 2-3 years managed care setting, medical office or facility setting
with demonstration of medical administration duties.
- Thorough knowledge of customer service, utilization review or claims
processing practices in a managed care environment and operation of
office equipment such as a personal computer.
- Knowledge of medical terminology.
- 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 members 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.
Benefits:
BCforward offers all eligible employees a comprehensive benefits package
including, but not limited to major medical, HSA, dental, vision,
employer-provided group life, voluntary life insurance, short-term
disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional
service, and workforce management expert, to fuel the development and
execution of core business and technology strategies, BCforward is a
Black-owned firm providing unique solutions supporting value capture and
digital product delivery needs for organizations around the world.
Headquartered in Indianapolis, IN with an Offshore Development Center in
Hyderabad, India, BCforward\'s 6,000 consultants support more than 225
clients globally.
BCforward champions the power of human potential to help companies
transform, accelerate, and scale. Guided by our core values of
People-Centric, Optimism, Excellence, Diversity, and Accountability, our
professionals have helped our clients achieve their strategic goals for
more than 25 years. Our strong culture and clear values have enabled
BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants
will receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national origin, or
protected veteran status and will not be discriminated against based on
disability.
To learn more about how BCforward collects and uses personal information
as part of the recruiting process, view our Privacy Notice and CCPA
Addendum. As part of the recruitment process, we may ask for you to
disclose and provide us with various categories of personal information,
including identifiers, professional information, commercia information,
education information, and other related information. BCforward will
only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for
positions in the United States must be legally authorized to work in the
United States. The submission of intentionally false or fraudulent
information in response to this posting may render the applicant
ineligible for the position. Any subsequent offer of employment will be
considered employment at-will regardless of the anticipated assignment
duration.
Interested candidates please send resume in Word format Please reference
job code 221398 when responding to this ad.
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Job Snapshot
Employee Type
Contractor
Location
Sacate, AZ (Onsite)
Job Type
Admin - Clerical
Experience
Not Specified
Date Posted
04/15/2024