Healthcare Mgmt Coordinator

<strong>Working at Advantasure is more than a job &mdash; you&rsquo;re part of a team that is becoming the country&rsquo;s leading healthcare solutions provider.<br /></strong><br /><strong>A career at Advantasure means you&rsquo;ll be part of one of the most dynamic, diversified and innovative healthcare companies in the nation. You&rsquo;ll be helping our clients make their members healthier &mdash; and our communities a better place to call home.</strong>

Glen Allen, USA


<p class="p1"><strong>At Advantasure, we partner with healthcare clients to simplify their operations and accelerate their business success. Powered by our broad expertise and a comprehensive suite of product and service solutions, we help health plans effectively navigate the complexity of healthcare.</strong></p>

keywords: job description,planning,support,other duties,education,experience,knowledge,skills


Competitive Compensation and Benefits Package

Overview: <br />Supports coordination of medical services including care management intake, health screening, and provider requests to promote effective utilization of healthcare services. Promotes and supports care managers and utilization management team as required.<br /><br /> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards.&nbsp;</p>
Responsibilities: <br /> <ul> <li>Provides support services to team members by answering incoming telephone calls, taking messages, researching information, and assisting in solving problems to include assisting members with basic benefit and program information.</li> <li>Completes member health screenings to identify needed services and completes member referrals in accordance with benefit plan.</li> <li>Assists care managers as needed to mail member letters, contact provider offices, arrange provider appointments and transportation, and other duties as necessary.</li> <li>Responsible for initial review and triage of care team tasks to include reason for admission, facility, and member program to correctly apply intervention assessment tools.</li> <li>Monitors member admissions, enters discharge dates and disposition, refers to needed services in accordance with benefit plan.</li> <li>Performs non-medical research pertinent to the establishment, maintenance, and closure of member cases to include the research and resolution of claims issues.</li> <li>Maintains accurate and complete documentation of required information that meets quality standards</li> <li>Protects the confidentiality of the member information and adheres to the company policies regarding confidentiality.</li> <li>Performs other duties as assigned.</li> </ul> <p>&nbsp;</p>
Requirements: <br /> <p><strong>EDUCATION:</strong></p> <ul> <li>High school diploma or G.E.D. required.&nbsp;</li> <li>Associate&rsquo;s or Bachelor&rsquo;s degree in health care related field is preferred.&nbsp;</li> <li>Current unrestricted LPN license or certified Medical Assistant designation preferred.</li> </ul> <p>&nbsp;</p> <p><strong>EXPERIENCE:</strong></p> <ul> <li>Minimum of one year experience in a healthcare-related field.</li> <li>Preferred setting is hospital, medical doctor&rsquo;s office, or health insurance company.&nbsp;</li> <li>Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry is required.</li> </ul> <p>&nbsp;</p> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Computer literacy to include Microsoft Office products, and internal systems to include JIVA, IKA Systems, and Symphony</li> <li>Advanced technical skills for use of hardware and software with a high degree of accuracy.&nbsp;</li> <li>Excellent oral and written communication skills for representation of clear and concise results.</li> <li>Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision.</li> <li>Strong time management skills.</li> <li>Must possess high degree of accuracy, efficiency, and dependability.</li> <li>Strong customer service skills to assist members and/or providers with understanding healthcare information and coordinating issue resolution.</li> <li>Effective written and verbal communication and feedback.</li> <li>Effective organizational skills with ability to be flexible and prioritize tasks.</li> <li>Knowledge of educational assessments and learning strategies.</li> <li>Must be knowledgeable of and able to use standard, basic grammar, punctuation, and spelling.</li> </ul>