
Program Coordinator
Initiate authorization requests for output or input 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. Assess and monitor inpatient census. Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material. Data enter assessments and authorizations into the system.
2-3 years managed care or physician’s office experience
Thorough knowledge of customer service, utilization review
Knowledge of medical terminology
Time Management
Claims Processing
Record Keeping Skills
Managed care program skills
Process Improvement
Verbal communication
written communication
Adaptability
Multi-tasker
According to JobzMall, the average salary range for a Program Coordinator in 8325 Lenexa Dr, Overland Park, KS 66214, USA is $47,400 - $61,900. This range is based on the average salaries reported by employers for this position in the area.
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Centene Corporation is a large publicly traded company and a multi-line managed care enterprise that serves as a major intermediary for both government-sponsored and privately insured health care programs.

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