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Correspondence Processor

Location : REMOTE
Job Type : Contract
Reference Code : 14217
Hours : Full Time
Travel : No
Relocation : No
Job Category : Healthcare - RNs & Nurse Management

Job Description :
Major Health Care Provider is looking for contract Correspondence Processors to join their team in San Antonio, TX! 

 

THIS IS A CONTRACT ROLE CURRENTLY BUDGETED AT 3 MONTHS WITH A PAY RATE OF $16.50/HOUR AND POSSIBLE EXTENSION OR DIRECT HIRE FOR THE RIGHT CANDIDATE



Remote position, however candidate must be local to El Paso, Irving, or San Antonio, TX, to qualify for the role as the position will transition to working onsite once offices reopen.

 



Job Summary



The Processor works with members, providers and multidisciplinary team members to assess,
facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. Staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

 

Responsibilities include but are not limited to: 



  • Enters data for prior authorizations 

  • Provides clerical, data entry and/or telephone support for the Utilization Management team 

  • Manages the workflow for responses to incoming authorization requests and correspondence from members and providers, collaborating with team members to provide timely replies 

  • Generates, processes, tracks and stores authorization requests and correspondence related to Care Access and Monitoring approvals and denials and other integrated programs including Behavioral Health and Long Term Care 

  • Enters member demographic data and provider information updates 





Required Qualifications :
Qualifications

 

Required Education- HS Diploma or GED
Required Experience- Min. 1 year experience in an administrative support role in healthcare.

Required Skills- MUST have advanced typing skills and computer experience - position is fast paced data entry role

Preferred Education- Associate's Degree
Preferred Experience- 3+ years experience in an administrative support
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