Job Details

Job Opportunity

This non-clinical position supports the department by performing a broad range of clerical duties.

Key Responsibilities

• Prepares correspondence to members, providers, and facilities.
• Provides follow up with providers and members as needed.
• Reviews service requests for completeness of information.
• Enters information into the database, compiles data and runs reports.
• Receives telephone calls, answers non-clinical questions and takes information, or refers callers to appropriate parties.
• Investigates and researches calls from members, physician offices, ancillary vendors, and facilities to facilitate the authorization process.
• Duties and responsibilities of this role are clerical in nature and are not involved in the interpretation of clinical information or evaluations.
• Performs other duties as assigned.

Qualifications

• Possess strong oral and written communication skills.
• Successful completion of Health Care Sanctions background check.
• Ability to reason logically and to use good judgment when interpreting materials or situations.
• Ability to organize time effectively and set priorities.
• Basic knowledge of medical terminology.
• Proficient in Microsoft applications.

Education/Experience

• High School Diploma or equivalent.
• Two years related work experience in medical, insurance or doctor's office environment preferred.
• Successful completion of college level education in health-related field may be applied in lieu of work experience.

CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin