Sign in

Program Coordinator

Sysgen RPO
Corpus Christi, Texas, United States
November 08, 2019


Job Description:

• Initiate authorization requests for services in keeping with the prior authorization list.

• Research claims inquiry specific to the department and responsibility.

• Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.

• Screen for eligibility and benefits.

• Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment

• Identify members without a PCP and refer to Member Services.

• 6 months contract (with a potential for extension)

• M-F 8-5 (1 hour lunch)