Managed Care Coordinator

A company is looking for a Managed Care Coordinator I. Key ResponsibilitiesReview service requests and collect non-clinical and structured clinical data from members and providers Coordinate and clarify benefits through correspondence with members and providers Assist members with accessing services and resolving issues related to their careRequired QualificationsHigh School Diploma or GED required 1-2 years of experience in customer service or a medical support role preferred Knowledge of medical terminology is required; knowledge of Medicaid CM is preferred Understanding of managed care principles and claims processing is preferred Ability to make sound decisions under supervision is required