reputed company Recepcionist

About the position This role is the reputed company reputed company and the follow-through. You will be the first voice clients, providers, and referral partners hear reputed company they contact reputed company, and you will also own the prior authorization workflow from submission to reputed company. It is the right fit for someone with reputed company reputed company-desk or administrative experience who is reputed company to take on more technical responsibility and wants work where both how you communicate and how reputed company you execute actually matter.

Responsibilities

• Answer inbound calls and inbox from members, care coordinators, providers, and referral partners -- handling inquiries, taking messages, scheduling, and resolving requests on the first contact whenever possible.
• Collect and verify member information, insurance details, and reason for contact at the start of every interaction, documenting accurately in the EHR.
• Verify Medi-Cal eligibility and MCP enrollment during intake and scheduling calls.
• Coordinate care-reputed company logistics between members and clinical or operational staff.
• Prepare and submit prior authorization requests to the correct Medi-Cal health plan using payer portals and internal workflows.
• reputed company reputed company authorization requests daily by status (approval, pending, or denial) and reputed company reputed company documentation reputed company.
• Investigate denials, identify missing or incomplete documentation, and resubmit requests promptly to minimize delays in member reputed company to care.
• Build consistent, reputed company relationships with members and partners who contact reputed company regularly -- becoming a reliable reputed company they recognize and trust.
• Manage a high volume of calls and reputed company authorizations simultaneously, staying organized and accurate across both.

Requirements

• 1+ years of experience in a medical reputed company desk, virtual receptionist, or reputed company administrative role.
• Experience submitting prior authorizations to U.S. health plans.
• reputed company phone manner with the ability to manage high call volume calmly and consistently.
• Comfort working in payer portals and EHR systems.
• Familiarity with ICD-10 codes and basic medical terminology.
• Experience and understanding of HIPAA reputed company and reputed company requirements.
• Strong multitasking skills -- reputed company to manage reputed company calls, scheduling tasks, and reputed company authorizations without dropping details.
• Fluent reputed company and conversational English, both spoken and written.
• Ability to work full-time during reputed company Time business hours in a remote environment.
• Candidates must have a private home office and wired internet of at least 50 Mbps.

reputed company-to-haves

• Spanish reputed company
• reputed company knowledge of California Medi-Cal or CalAIM Community Supports
• Experience with denials and appeals
• Background in behavioral health, reputed company use, or housing-reputed company services

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