Medical Management Assistant (SCAN Temp)
$41,891–$57,762 year
RemoteUnited States
Job Summary
Respond to provider calls and faxes, enter inpatient and outpatient data into the case management system (CCMS), and authorize SCAN services under clinical direction. Verify member eligibility, benefits, network status, and division of financial responsibility while maintaining telephone standards and triaging events per department guidelines. Serve as a resource for internal and external customers by ensuring services align with benefit plans and utilizing contracted providers. Maintain member privacy, adhere to quality and compliance standards, and promptly report barriers to supervisors. Work Monday through Friday, 8am-5pm Pacific Time, in a temporary remote role for approximately 3-6 months.
Required Qualifications
- High School Diploma or equivalent
- 3+ years of medical experience in a managed care environment
- Proficiency with data entry
- Knowledge of medical terminology
- Utilization Management experience
- Excellent communication skills; primarily telephonic required
- Strong organizational skills and the ability to prioritize
- Ability to multitask and work with limited supervision
- Ability to work well in a fast-paced and dynamic environment
- Ability to provide professional customer service
- Proficient in MS Office
- Working knowledge of Medicare and Medi-Cal guidelines
- Associate's Degree or equivalent experience
- ICD-9, CPT coding experience
- Monday - Friday, 8am-5pm Pacific Time
- Remote Work Mode
- Temporary Remote Role approximately 3-6 months
- A background check
Desired Qualifications
- Associate's Degree or equivalent experience preferred
- 3+ years of medical experience in a managed care environment is preferred
- ICD-9, CPT coding experience preferred
- Working knowledge of Medicare and Medi-Cal guidelines preferred
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