Medical Management Specialist
Company: P3 Health Group Management, LLC
Location: Henderson
Posted on: August 7, 2022
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Job Description:
People. Passion. Purpose. P3 Health Partners is committed to
ensuring the health and safety of our team members, patients and
communities we serve. As a part of this commitment, all candidates
must receive their COVID-19 vaccine prior to joining the team. If
you have any questions about our interview and hiring procedures,
please contact PeopleServices@p3hp.org. At P3 Health Partners, our
promise is to guide our communities to better health, unburden
clinicians, align incentives and engage patients. We are a
physician-led organization relentless in our mission to overcome
all obstacles by positively disrupting the business of health care,
transforming it from sickness care into wellness guidance.We are
looking for a Medical Management Specialist. If you are passionate
about your work; eager to have fun; and motivated to be part of a
fast-growing organization in Las Vegas, Nevada, then you should
consider joining our team.Medical Management SpecialistOverall
Purpose: Under the supervision of the Medical Management Nurses,
this position is responsible for assisting the Medical Management
department with clerical work, inbound and outbound phone calls and
faxes, mailings, processes that do not require RN intervention,
based on the scope of practice within the state. Through
collaborative team work the clerk will assist the department and P3
Health Partners to enhance the achievement of the Quadruple Aim:
improved outcomes, improved experience of care for patients and
providers and lower healthcare costs.Education and Experience:---
High School graduate required--- Education as a medical assistant
or nursing school student helpfulEssential Functions:--- Promote
the mission, vision and values of P3 Health Partners--- Answers the
Prior Authorization phone line and acts as the first line of
contact to inbound callers--- Provides administrative functions to
support UM Prior Authorization and Concurrent Review Team--- Sends
follow up fax and mail communication or follow up telephone calls
to providers and patients notifying them of approved outpatient
authorizations--- Responsible for managing fax server indexing
buckets and updating provider information--- Assists Medical
Management team in gathering additional clinical information when
applicable--- Supports the Medical Management team with appropriate
referrals, claims history or any other clinical information
necessary--- Responsible for timely and accurate documentation in
systems--- Strong problem-solving skills required--- Experience in
a managed care organization preferred --- Knowledge of medical
terminology required--- Excellent communication skills with
patients, providers, internal and external customers required---
Must have excellent computer skills--- Must have excellent
organizational skills, attention to detail, and ability to work
independentlyEQUAL OPPORTUNITY EMPLOYERWe're an equal opportunity
employer. All applicants will be considered for employment without
attention to race, color, religion, sex, sexual orientation, gender
identity, national origin, veteran or disability status.DIVERSITY &
INCLUSION At P3, we recognize and appreciate the importance of
creating an environment in which all team members feel valued,
included, and empowered to do their best work and bring great ideas
to the tableEvery P3 family member's unique experiences,
perspectives, and viewpoints are valued and support our ability to
deliver the best possible experience for our patients, providers,
payers, partners, and each other.Powered by JazzHR
Keywords: P3 Health Group Management, LLC, Henderson , Medical Management Specialist, Executive , Henderson, Nevada
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