2/18/2023 0 Comments Event manager jobs nyc![]() Advanced personal computer skills, including Word, Excel or Access required. Excellent oral and written communication skills required. Minimum of two years of experience in a customer service role required. High School degree or equivalent required. Performs other duties and special projects, as assigned Protects the confidentiality of member information and adheres to company policies regarding confidentiality. Utilizes internal and external systems to verify eligibility and Provider Information such as name, address, fax number, NPI and TAX ID.Ĭonducts follow-up, as necessary, to ensure member satisfaction and successful delivery of service Reviews all authorization requests for accuracy and prioritizing based on urgencyĭocuments communication, actions taken and barriers in the Medical Management System as it pertains to the Members Care or request for services Processes or triages the request via our medical management information system or external sourcesĬoordinates with Providers and Members regarding authorization requests and/or activitiesĬommunicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues Obtains information from internal and external sources. Researches, troubleshoots, resolves authorization and/or order processing issues and discrepanciesĬompletes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails Works under general supervision.Ĭreates and modifies authorizations and/or orders for new and existing Members in an accurate and timely matter Ensures timely and effective delivery of services. Works collaboratively with other departments to troubleshoot and resolve authorization related issues in a timely and efficient manner. Formal presentation skills are desirable Must be proficient with Microsoft Office Word, Excel, and PowerPoint.Ĭompletes data input for authorization/service requests. Job candidate must be organized, detail oriented, able to prioritize, and work independently. Candidate must possess excellent interpersonal skills and be able to effectively communicate verbally and in writing to engage with all disciplines to help support ongoing compliance with quality and safety standards. Must be detail and analytically oriented with at least a basic knowledge of statistics. Must be able to identify, track, analyze and report on both process and outcome measures. Knowledge of nationally reported and benchmarked quality metrics is highly desirable. Healthcare and Performance Improvement experience preferred. Minimum 5 years' experience in acute care setting required. Participates in regulatory survey readiness activities. This position requires maintaining appropriate documentation of PI plans, annual appraisals, and meetings including agendas and minutes, and assisting with implementation of initiatives as recommended by PI Committee. ![]()
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