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Associate Care Management Coordinator
Highmark HealthCare Management Coordinator responsible for processing pre-certification requests and ensuring compliance with regulatory requirements in a health care setting.
About the role
Key responsibilities & impact- Perform accurate and timely processing of pre-certification requests for authorization of medically necessary health care services
- Document, process and route requests for services
- Follow policies and procedures to assure case completion and compliance with state and federal regulatory agencies
- Maintain or exceed department standards for call volume, response time and related production and quality measures
- Communicate effectively and proactively inform designated individuals of the status of work assignment
Requirements
What you’ll need- High School Diploma / GED
- Experience in customer service
- Experience in typing, keyboard and computer skills
- Work experience in medical terminology
- Associates degree or certification in a health related occupation
- Work experience with ICD-9 and/or CPT coding
Benefits
Comp & perks- Health insurance
- Retirement plans
- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Pre-Certification ProcessingCase DocumentationRegulatory ComplianceCall Volume ManagementResponse Time Standards
Soft Skills
Effective CommunicationProactive Information Sharing
Certifications
Health Related CertificationAssociates Degree