Managed Care Coordinator - SouthPark Sleep Medicine
Join to apply for the Managed Care Coordinator - SouthPark Sleep Medicine role at Tryon Medical Partners .
3 days ago – Be among the first 25 applicants.
Primary Job Responsibilities/Tasks may include, but are not limited to: assisting patients and providers with coordinating referrals, obtaining authorization and scheduling, understanding benefit coverage, and ensuring patient care is coordinated.
Responsibilities
Complete referrals for patients and coordinate with referring and receiving practices, departments and outside facilities.
Obtain prior authorizations for sleep studies.
Review benefits and educate patients on insurance coverage.
Educate patients on step-by-step Watchpat guidance, ensuring proper device usage.
Schedule appointments for Watchpat pickup.
Follow up on all referrals to ensure no care gaps.
Ensure sleep billing encounter is placed.
Handle sensitive information in a confidential manner.
Other duties as assigned.
Requirements
High School Diploma or GED required.
Thorough understanding of insurance coverage and Medical Necessity policies preferred.
Customer service experience required.
Knowledge of medical records software preferred.
Completion of Hepatitis B Vaccine and Flu Vaccine Form required; candidate may decline vaccination or provide record of vaccination from previous employer.
Completion of TB test required.
Physical Requirements
Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
Must be able to lift and support weight of 35 pounds.
Ability to concentrate on details.
Use of computer for long periods of time.
This is a full‑time position supporting our Sleep Medicine team at SouthPark, Monday to Friday 8 am to 5 pm.