Moses Cone Hospital, SW-Care ManagementCITY:
Exempt: No | FTE: 1.0 (40 hours/week) | Schedule: Monday - Friday | On Call: NOJOB SUMMARY:
Under the leadership of the SW - Care Management Department, the Care Management Assistant (CMA) is responsible for completing all correspondence with insurance companies to assure all clinical information is sent in a timely manner as well as respond timely to all requests for additional clinical information. The CMA is responsible for collecting and validating accurate patient demographic and insurance information, obtaining pre-certification/authorization when required, and documenting all necessary information. The CMA is responsible for notifying the Case Manager (RN) of impending clinical review activity and coordinating that activity with information required by all insurance carriers.EDUCATION:
High School Diploma or equivalent, required
Associates, Healthcare Related Field, preferredEXPERIENCE:
1-2 years of experience in Case Management or Utilization Review activities preferred.
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