Job Description

Immediate need for a talented Care Coordinator . This is a 12+ Months Contract opportunity with long-term potential and is located in McAllen, San Antonio/Austin (Remote) . Please review the job description below and contact me ASAP if you are interested. Job ID:25-62864 Pay Range: $16.50 - $17/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Review member file and make appropriate outreaches to coordinate member's Durable Medical Equipment (DME) and Adaptive Aid (AA) items. Review member eligibility and identify appropriate payers and communicate with DME agencies and PCPs to obtain needed information for requested items. New Team members will start training where production needs are identified at the time of hire. Team members who have demonstrated proficiency in their area will be cross trained in different pods. This is normally after team members have met all required metrics (production and quality) with a tolerable error rate. All team members are expected to monitor their own emails throughout the day to address any requests or corrections. Team members will address all emails within 1 BD. Key Requirements and Technology Experience: Skills- 1 yr experience in the healthcare field, Managed Care/Utilization review/Case Management, Durable Medical Equipment (DME). 1 yr experience in the healthcare field. Experience with Microsoft Office i.e Word, Excel, PowerPoint. Experience in Managed Care/Utilization review/Case Management Experience working from home/remote Microsoft Outlook, Skype for Business, Zoom, Microsoft Word, Microsoft Excel, SharePoint, Internet. Location: Remote. Employee must reside near McAllen, San Antonio/Austin office. Note- As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience. Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process. Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here. #prof Pyramid Consulting

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