Become a part of our caring community The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Assistant performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. The Care Management Support Assistant will review inbound referrals and correspondence for processing, fulfilment or resolution utilizing all appropriate software systems and resources. Screen physician’s orders and documentation to identify that all qualifying medical documentation and required information is included. When necessary, request additional applicable information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures for approving request or referring request for further review. Provide referral management education to members and providers regarding medical benefits, referral status and prior authorizations. Communicate with patient to confirm demographics and explain the details of the services/care requested. Coordinate the timely delivery of care and services with providers. Also communicate with referring entities, providers, and members regarding final referral determination while maintaining detailed documentation to record patient, physician, referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management, Billing, Pharmacy, and Home Care r
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Role overview
Job description
Who We Are Artefact is an applied AI company. We build systems that run in production, in our clients' own cloud, and keep running after we leave. We are present in 27 countries across all continents with a team of 2,500 employees and offer the most comprehensive set of AI & data solutions per industry, built on deep data science and cutting-edge AI technologies, delivering AI projects at scale in all industry sectors. From strategy to operations, we partner with 1000+ clients, including some of the world’s top 300 brands. The Role We are looking for an IT Support Assistant reporting directly to our IT Director (Located in the UK) and working closely with our People and Finance team you will look after our internal workplace systems, office network, and meeting room technology. As our company continues to grow, you will play a crucial role in keeping our day-to-day operations running smo
…What they are looking for
Skills & requirements
Qualification
What We're Looking For End-User Support: Approximately 2 years of experience supporting end users across Windows and Apple devices
Department · Admin

Hiring company
Artefact
Global data and AI consulting company. From strategy to deployment: AI solutions by industry, data platforms, governance, analytics and data marketing.
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£2.5K – £3K/mo
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