Randstad Associate Patient Care Coordinator in San Antonio, Texas

Associate Patient Care Coordinator

job details:

  • location:San Antonio, TX

  • salary:$14 per hour

  • date posted:Wednesday, February 6, 2019

  • experience:Entry Level

  • job type:Temp to Perm

  • industry:Administrative and Support Services

  • reference:S_729210

job description

Associate Patient Care Coordinator

Randstad is currently seeking Associate Patient Care Coordinators for a Fortune 5 Health Insurance Company in San Anton, MN (Zipcode: 78249). Interested candidates should send their resume to kevin.tran@randstadusa.com with the posting job title and location attached to the email along with your contact information. This position is a Temporary-to-Hire contract opportunity starting on an asap basis paying $14.00/hour. Interested candidates must be available to work Monday through Friday, between the hours of 8 AM to 5 PM.

Responsibilities:

  • Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers.

  • Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically necessary. Sorts appropriately.

  • Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day.

  • Prepares envelopes and letters for mailing according the UM policy.

  • Receives appeal requests from health plans and/ or QIO, logs requests, researches and provides requested information.

  • Works with claims department to redirect claims related appeal requests.

  • Generates reports for analysis by department using the data entry system.

  • Assists with CMS organization determination reports as needed

Working hours: 8:00 AM - 5:00 PM

Skills:

  • Excellent verbal and written skills.

  • Possess planning, organizing, conflict resolution, negotiation and interpersonal skills.

  • Independent problem identification/resolution and decision making skills.

  • Ability to interact with individuals and with multidisciplinary teams.

  • Ability to demonstrate excellent customer service with patients, providers, and health plan and interacting with other internal departments within the organization.

Education:

High School

Experience:

Entry Level

Qualifications:

  • High School diploma or GED required.

  • Two or more years of related experience.

  • Sound knowledge of medical terminology.

  1. Is the LOCATION commutable for you based on the Zip Code?

  2. Do you have 2+ years of healthcare administrative experience?

  3. Would you be interested in a temporary-to-hire opportunity?

  4. Would $14.00 per hour be an acceptable target rate of pay for you?

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.