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Job Information

McLaren Health Care Intake Specialist in Flint, Michigan

Description

Position Summary:

Responsible

for the intake of information regarding the authorization of services for

members of all product lines, including communication to the case managers.

Works with the PCP, the member and management to promote the delivery of

quality services at the most appropriate and cost-effective setting. Monitors members’ utilization patterns for

identification of high-risk and under and over use of services. Clarifies

benefits for providers.

Qualifications

Qualifications:

Required:

  • Highschool diploma or equivalent.

  • Completion of a medical-related trainingprogram such as Medical Assistant, EMT or Nursing Assistant.

  • Two (2) years’ experienceworking in a medical practice office, an urgent care, hospital, skillednursing facility or other health care setting

Preferred:

  • One (1) yearManaged Care Utilization review experience

  • Experience andknowledge of the preauthorization process for medical services

  • Medical AssistantCertification

  • Physician officeexperience

  • Experience andknowledge of Medicare, HMO, PPO, TPA, PHO and Managed Care functions (e.g.administration, medical delivery, claims processing,membership/eligibility)

Job: Service/Support

Primary Location: Michigan-Flint-McLaren Health Plan Bldg

Employee Status Regular

Job Type Standard

Schedule Full-time

Req ID: 20003530

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