Managed Care Coordinator II - Portland Maine

Company: VirtualVocations
Location: Portland, Maine
Posted On: 01/22/2025

A company is looking for a Managed Care Coordinator II.



Key Responsibilities:

Review service requests for completeness and collect non-clinical data
Prepare and document cases for clinical review and coordinate with members and providers
Assist in onboarding and training new Managed Care Coordinators I


Required Qualifications:

High School Diploma/GED required
3-5 years of customer service experience preferred
Knowledge of medical terminology required
Prefer knowledge of contracts, enrollment, billing & claims coding/processing
Prefer knowledge of Managed Care principles More...

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