Public Consulting Group Medical Care Coordinator in Augusta, Maine
Medical Care Coordinator - MaineCare
Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
Medical Care Coordinator - MaineCare
This is a contract position with the Office of MaineCare Services, Complex Case Unit (CCU) in Augusta, Maine. This is administrative work in determining eligibility and coordinating services for medical care programs. The CCU provides Maine residents with simple and timely solutions to complex healthcare, financial, and placement issues through integrated provider and community involvement.
REPRESENTATIVE TASKS :
Review client applications for medical care services in order to determine client eligibility for assistance from the CCU.
Assist clients in completing applications, provide information, and resolve problems in order to help individuals apply for and/or receive medical care services from the CCU.
Receive and respond to inquiries from clients, agencies, companies, and others in order to provide technical information and assistance.
Analyze reports, files, and other forms of information in order to identify barriers to placement and share findings with the team.
Provide professional and technical support to the C CU team by attending meetings, taking notes and dispersing to the team , s end ing emails, fax ing documents, creat ing and fil ing member files .
Use MaineCare's eligibility and claims data to research member information and present findings to the team.
Outreach to facilities to locate/obtain placements as necessary.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED :
Knowledge of assigned medical care program including client eligibility standards.
Knowledge of other federal/state programs offering services to clients.
Knowledge of medical terminology.
Knowledge of health insurance terminology .
Knowledge of special medical care services and non-standardized medical treatments available to clients.
Knowledge of computer technology and programs .
Ability to analyze and assess complex information .
Ability to work independently.
Ability to establish and maintain effective working relationships.
Ability to communicate effectively. Ability to write clearly and effectively.
MINIMUM QUALIFICATIONS : (Entry level knowledges, skills, and/or abilities may be acquired through, BUT ARE NOT LIMITED TO the following coursework/training and/or experience).
A four (4) year combination of education and experience in care management/ medical eligibility programs and/or experience which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and payment authorization.
HS Diploma or GED is required; some college preferred.
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability.
Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.
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Posted Date5 days ago(1/14/2022 8:41 AM)
Job ID 2022-7586
of Openings 1
Category Customer Service/Support
Type Regular Full-Time
Practice Area Health Services
Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.