Medical Claims Coordinator needed in South Austin

Job Description

Kelly Services is in need of a Program Coordintaor for a health company located in South Austin. Work schedule will be Monday through Friday, 8:00am to 5:00pm.

Duties:

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
Produces and mails routine CM letters and program educational material.


Requirements

- At least 1 year of medical claims processing experience
- High School diploma or equivalent


Highlights

AS A Kelly Services Employee, YOU'LL HAVE ACCESS TO WORLD-CLASS PERKS, INCLUDING:
-Kelly-sponsored Affordable Care Act health care coverage available to eligible employees
-Group insurance options*
-Service bonus plan
-Holiday pay plan
-Weekly electronic pay options
-Online training campus that provides more than 3,000 free courses to help improve and develop skills
-Exclusive online employee community
-Employee assistance program available at no cost
-Corporate discounts
-Transportation Spending Accounts
* Offered and administered by Leslie & Associates. These plans are not sponsored by Kelly Services.

Why Kelly®?

As a worker today, it’s up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what’s next is what we’re all about. We know what’s going on in the evolving world of work—just ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.

About Kelly®

At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females, individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.

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