San Antonio, TX, 78284, USA
5 days ago
Clin Admin Coord/23/MCO101
Adecco Healthcare & Life Sciences is assisting a local client in their search for Clinical Admin Coordinators in San Antonio, TX. Apply today if you meet the qualifications listed below! Location: San Antonio, TX (onsite) Schedule: 4 days 10 hours per day Type: 2 month contract role Pay rate: $ 22.36/hour **Job duties for this position include but are not limited to:** + Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers + Reviews denials and determines whether the decisions are retro/claims DOS or prospective DOS, and whether they are NCB or medically necessary + Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day + Prepares envelopes and letters for mailing according to the UM policy + Receives appeal requests from health plans and/ or QIO, logs request, researches and provides requested information + Works with claims department to redirect claims related appeal requests + Generates reports for analysis by department using the data entry system + Assists with CMS organization determination reports as needed + Must be able to work a flexible schedule that includes evening hours and holidays **Preferred Qualifications:** + Related experience in healthcare + Telephonic and/or telecommute experience + Familiarity with ICD-9 coding + Demonstrated excellent verbal and written skills + Proven ability to possess planning, organizing, conflict resolution, negotiation, and interpersonal skills + Independent problem identification/resolution and decision-making skills + Demonstrated ability to interact with individuals and with multidisciplinary teams + Ability to demonstrate excellent customer service with patients, providers, and health plan and interacting with other internal departments within the organization + Excellent Weekly Pay discussed during screening + 401(k) Plan + Skills Training + Excellent medical, dental, and vision benefits Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. IMPORTANT: This job is being recruited for by Adecco’s Medical and Science division, not your local Adecco Branch Office. For opportunities available at Adecco Healthcare and Life Sciences go to https://www.adecco.com/en-us/employers/industries/healthcare-life-sciences Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/ . The Company will consider qualified applicants with arrest and conviction record **Pay Details:** $22.36 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance
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