Description:

　　Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require. Within extension of authority assigns length of stay on acute inpatient admissions as well as approves specific home health DME. Process authorization requests and facilitates referrals. Assists with system letters requests for information and data entry. Provides administrative/clerical support to medical and disease management.

　　Responsibilities:

　　Entry level intake faxed in auth's calls left on voicemail

　　Select support for Case Manager such as mailings surveys.

　　Data entry including authorization forms high risk member information verbal HIPPA authorizations and SNF admissions

　　Specified template letters for CM

　　Create family files

　　Specified callbacks

　　Assist HMO with IPA mail authorization forms

　　Mail HIPAA forms to members

　　Support to Lead HCS

　　Responds to inquiry calls on a limited basis

　　About TEKsystems:

　　We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

　　The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

　　We are an equal opportunity employers and will consider all applications without regard to race, genetic information, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. To view the EEO is the law poster click here. Applicants with disabilities that require an accommodation or assistance a position, please call 888-472-3411 or email [email protected]. This is a dedicated line designed exclusively to assist job seekers whose disability prevents them from being able to apply online. Messages left for other purposes will not receive a response.