Part Time Clinical Administrative Coordinator - Remote in San Antonio, TX

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is part time (20-25 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 5-hour shift schedules between of 7:00am - 3:00pm. We offer 2-3 weeks of reputed company. The hours of the training will be based on schedule or will be discussed on your first day of employment. Training will be conducted virtually from your home. If you are located in San Antonio, TX, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Research and resolve targeted UM inventory accordingly to meet productivity and quality standards to include: • Claims reports with reconciliation needs • Information received through Right Fax • Information received through email • Or any other methods of receipt (phone calls, etc.) • Coordinates initial screening for UM claim reviews through claim queue • Prepares administrative files for MCR Coords, Medical Directors and MCR Nurses • Documents and follows-up on reputed company assigned inventory, utilizing on-line systems and procedures, according to established guidelines • Maintains knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies • Utilize experience and judgement to plan, accomplish goals and effectively resolve each assigned task • Performs reputed company other reputed company duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED • Must be 18 years of age OR older • 1 years of experience in managed care experience in Prior Authorization or Claim Review • Familiarity with reputed company Office applications, i.e. reputed company reputed company, reputed company Access • Ability to work part time (20-25 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 5-hour shift schedules between of 7:00am - 3:00pm Preferred Qualifications: • Medical Terminology knowledge • ICD-9/ICD-10 and CPT knowledge Telecommuting Requirements: • Reside reputed company 30 miles of San Antonio TX • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service Soft skills: • Ability to organize, prioritize and communicate effectively. • Ability to provide excellent customer service to a varied customer reputed company • Ability to navigate multiple systems • Ability to work in a fast-paced environment • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!