UM Clinical Services Assistant II in Roseland, NJ at Beacon Health Options

Date Posted: 4/29/2018

Job Snapshot

Job Description

About the Position:

We are currently seeking a team of dynamic Clinical Services Assistants (UM) to join our team at our office in Roseland, NJ!  The Clinical Services Assistants will be responsible for serving as the primary support mechanism for all non-clinical administrative tasks so that clinical staff may focus on clinical priorities and ensure that critical business needs are met.

Position Responsibilities:

  • Responsible for determination of single case agreements due to network inadequacies and process as needed.
  • Primary contact for all provider questions involving single case agreements, authorizations and claims processes.
  • Responsible for the daily maintenance and data entry of single case agreements into computer system.
  • Record member/provider inquiries into CareConnect and complete administrative functions as necessary. Conduct provider searches and record findings including provider status.
  • Primary contact for building and authorizing outpatient cases for members and providers through the registration process and the screening criteria tool.

Position Requirements:

  • Education: High School Diploma required, Associate’s degree preferred.
  • Licensure:  None required
  • Relevant Work Experience:   Three years of experience working in a healthcare environment with a high level of customer service
  • Knowledge, Skills & Abilities:
    • Analysis and problem solving
    • Interpersonal communication
    • Verbal and written communication

To Apply:

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Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled