Medical Management Specialist

Company: P3 Health Group Management, LLC
Location: Henderson
Posted on: August 7, 2022

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