Specialists Contractor at Strategic Staffing Solutions
Detroit, MI 48226
About the Job
Job Title: Specialists Contractor
Duration: 12 Month contract; chance to extend/convert to full time.
Location: Detroit, MI (HYBRID)
Pay: $ 37/HR
Industry: Healthcare Industry
Required Qualifications:
• High School Graduate or GED equivalent required.
• Two (2) years of college preferred.
• Two (2) years’ experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other health care related field preferred.
• Knowledge post-acute care functions and processes or discharge readiness activities may be preferred for some positions
Job Responsibilities:
• Providers and UM reviewers with prior authorization requests for post-acute care services.
• Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests.
• May work with providers to secure discharge plans,
• Notice of Non-Medical Coverage,
• Durable medical equipment, and other home supports required for discharge planning.
• May support scheduling physician to physician calls.
• Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities.
Salary
35 - 37 /year
