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Job Summary

This position is responsible for processing Medicaid Community Benefit authorizations that have been approved; conducting research, performing data entry, responding to inquires from agencies, and supporting the clinicians in the Medical Management department with their provider and member activities.

JOB REQUIREMENTS:

• 1 year of college and 2 years experience with automated systems OR 3 years experience with automated systems.
• 1 year experience with managed care system(s) or medical systems (i.e.; hospital or doctor office).
• Experience coordinating member needs, providing assistance to members, and analyzing member needs.
• Knowledge of medical terminology.
• Knowledge of medical claims systems.
• PC proficiency including Microsoft Office applications.
• Customer service skills.
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills to educate members on medical issues.

PREFERRED JOB REQUIREMENTS:

• College courses in computer science or the medical field.

TELECOMMUTE - APPLICANT MUST RESIDE IN NEW MEXICO

Hours for the role are 8am-5pm MST

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$17.20 - $27.15