Under the supervision of the Manager of Case Management, the Care Coordinator Assistant is responsible for tracking, documenting, and obtaining insurance verification, benefits,authorizations, and referrals.

Qualifications

Minimum Required

1 year administrative or clerical experience

High School diploma or equivalent. experience

Ability to work effectively under pressure due to changing priorities, interruptions, high/low census, payer demands and discharge planning demands

Excellent interpersonal communication, including conflict resolution, problem solving and negotiation skills

Clinical knowledge of multiple age groups, medical illness and treatment plans according to disease process, diagnosis and anticipated LOS

Strong organizational and time management skills, as evidenced by capacity to multi-task and prioritize

Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and their families

Demonstrates the knowledge and skills necessary to communicate with third party payers to obtain authorization for the appropriate treatment setting for patients requiring medical, psych and chemical dependency treatment

Must be proficient in required competencies upon completion of orientation and maintain annual departmental competency requirements

Ability to work collaboratively regardless of social, economic and cultural backgrounds

Computer skills in using Microsoft Office (Excel, Word, Power Point, Access)

Preferred/Desired

2-3 years administrative or clerical experience in a medical office setting or hospital based environment with patient and family interaction. Knowledge of medical terminology, insurance verification and authorization processes

Bachelors degree in related field.

Knowledge of CCS/Medi-Cal regulations and requirements. Knowledge of third party payor requirements in order to optimize reimbursement Bi-lingual