Program Coordinator II (Technology Specialist)

  • Superior HealthPlan
  • Houston, TX
  • time-alarm-solid 02-07-2024

Program Coordinator II (Technology Specialist) at Superior HealthPlan

Job Type: Remote

Salary Range: $21.93 - $37.30 per hour

Company: Superior HealthPlan

Centene, our parent company, is a diversified, national organization offering competitive benefits and a fresh perspective on workplace flexibility.

Job Description

The Program Coordinator II, also known as the Technology Specialist, plays a vital role in assisting in activities related to the medical and psychosocial aspects of utilization and coordinated care. This remote position requires the candidate to reside in Texas.

Responsibilities

  • Initiate authorization requests for output or input services, maintaining PHI integrity
  • Screen for eligibility and benefits, prioritizing CM assessment
  • Coordinate services with community-based organizations, represent the plan at marketing and outreach meetings
  • Train new Program Coordinators, guiding staff on benefits, authorization requirements, and policies
  • Data entry of assessments and authorizations

Education/Experience

High school diploma or equivalent; 3-5 years managed care setting, medical office, or facility setting with experience in medical administration duties. Thorough knowledge of customer service, utilization review, or claims processing practices in a managed care environment, and operation of office equipment such as a personal computer. Knowledge of medical terminology. LPN license is highly preferred.

Benefits

  • Flexible work solutions, including remote options and hybrid work schedules
  • Competitive pay and paid time off, including holidays
  • Health insurance coverage for you and your dependents
  • 401(k) and stock purchase plans
  • Tuition reimbursement and best-in-class training and development