Health Completion Coordinator (Remote)

MRIoA • Mountain View, CA

6d • Remote

About The Position

Our Health Completion Coordinator is responsible to carry out day-to-day departmental tasks and complete all processes for receiving and reviewing reviewer decisions, issuing appropriate, timely and accurate review outcome notifications and maintaining online case summary/tracking information.

Requirements

• Ability to work under pressure and meet deadlines while managing multiple high priorities
• Personal computer literacy and high competency in use of MS Word and ten key
• Strong detail orientation
• Strong organizational skills
• Strong oral and written communication skills
• Well-developed customer service and training skills
• Working knowledge of basic anatomy, physiology and medical terminology
• Ability to work independently with minimal supervision
• Understanding and knowledge of company's clients, products, departments and workflows departments, and applicable regulatory requirements and accreditation standards
• Minimum one year’s experience in similar operations
• Experience in health care, managed care or utilization management company
• High school diploma

Nice To Haves

• Preference for Bachelor's degree preferably in business or health care

Responsibilities

• To finalize the case review process and issue review outcome notifications to appropriate parties of the case
• To serve as a company liaison with clients, reviewers and practitioners/providers/ facilities whose services are subject to review
• Evaluate opinions submitted by reviewers upon conclusion of their reviews for compliance with company standards for completeness
• Follow-up with reviewers whose submitted opinions do not meet all compliance standards
• Issue oral and written review outcome notifications that comply with standards and requirements for timeliness, content, recipients and accuracy including written notification, grammar and spelling
• Research clients’ questions about review processes and/or reviewer decisions
• Determine need for additional information or additional review and notify the client and internal departments of these needs
• Provide backup support to staff in other areas as applicable
• Support all Quality Management initiatives
• Actively participate in the Complaint Process and Provider Relations Assessment process
• Support all Compliance Program activities
• Participate in all company meetings and committees as requested
• Maintain a flexible schedule to meet client needs
• Adhere to all policies and procedures
• Take feedback and responsibility for performance
• Adapt to differences of clients
• Complete other duties and responsibilities as directed

Benefits

• A competitive compensation package.
• Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays.
• Growth and training opportunities.
• A team atmosphere with fun events and prizes scheduled throughout the year.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees