Professional Management Enterprises·Full Time·5 days ago
United States$18 - $19.25 per hour5-10 yrs expHealthcare
Provide non-clinical support to medical management operations by handling complex file reviews and inquiries from members and providers. Maintain tracking databases, prepare reports, and act as a liaison between medical management and internal departments.
The Medical Management Specialist manages inbound member calls, triages needs, and coordinates care through non-clinical support. They are responsible for gathering clinical data to assign cases to the appropriate departments and maintaining accurate tracking databases.
