The Intake Coordinator manages incoming calls, emails, and faxes to process patient demographic information and determine precertification requirements. They also perform outgoing calls to verify patient and provider data, coordinate with nurses, and handle administrative documentation tasks.
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7 Remote Job Openings at MedWatch
The Case Manager Assistant supports the RN Case Manager by reviewing medical data, coordinating care arrangements, and maintaining patient case documentation. They act as a liaison between patients, providers, and payers to ensure quality care and adherence to benefit plans.
The Case Manager Assistant supports the RN Case Manager by reviewing treatment plans, verifying medical necessity, and coordinating care with providers and payers. They also maintain patient records, document case actions, and assist in navigating benefit constraints to ensure quality patient care.
The Case Manager manages an individual caseload to meet customer needs, including authorizing services and reviewing treatment plans for medical necessity. They coordinate care transitions, collaborate with healthcare teams, and maintain accurate documentation within the computer system.
The Case Manager manages an individual caseload by assessing patient needs, developing care plans, and coordinating with healthcare providers and payers to ensure quality care. They are responsible for documenting case actions, maintaining billing, and negotiating with providers to maximize medical benefits.
The Case Manager manages an individual caseload by assessing patient needs, developing care plans, and coordinating with healthcare providers and payers. They are responsible for reviewing medical necessity, maintaining case documentation, and ensuring quality care through ongoing communication and resource navigation.
The representative will respond to member and provider inquiries regarding health benefits and precertification while negotiating rates with out-of-network providers. They are also responsible for documenting calls, managing electronic web-certs, and verifying patient and provider information.