Medical Management Care Coordinator (Bilingual Chinese Speaking)
Job Description
Collects specific data in the medical management information system for the clinical staff. Resolves authorization issues as well as troubleshoots, researches and resolves related issues in a timely and efficient manner. Works under general supervision.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement and CEU credits
What You Will Do
Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely manner
Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies
Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails
Coordinates with Providers and Members regarding authorization requests and/or activities
Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues
Qualifications
Education:
High School Diploma or equivalent Required
Work Experience:
Minimum of two years of experience in a customer service role Required
Excellent oral and written communication skills Required
Advanced personal computer skills, including Word, Excel or Access Required
Utilization Management experience Preferred
Pay Range
USD $20.98 - USD $26.23 /Hr.
About Us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
Education:
High School Diploma or equivalent Required
Work Experience:
Minimum of two years of experience in a customer service role Required
Excellent oral and written communication skills Required
Advanced personal computer skills, including Word, Excel or Access Required
Utilization Management experience Preferred
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement and CEU credits
What You Will Do
Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely manner
Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies
Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails
Coordinates with Providers and Members regarding authorization requests and/or activities
Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues