Care Specialist - Inpatient - Sharp Rees-stealy - Per Diem - Day Shift

Sharp Chula Vista Medical Center

Chula Vista, CA, US
Hourly: $30.98 - $43.37; range midpoint: $38.73; n...
3 years managed health care experience
Icd and cpt coding class completion
Medical coding and data entry skills
The Care Specialist coordinates referrals for medical care including outpatient, inpatient, skilled nursing, and equipment requests according to Sharp Rees-Stealy guidelines

Job Summary

  • The Care Specialist coordinates referrals for medical care including outpatient, inpatient, skilled nursing, and equipment requests according to Sharp Rees-Stealy guidelines.
  • Responsibilities include verifying patient eligibility, obtaining detailed benefit coverage, and managing prior authorization submissions for complex service requests.
  • The role requires maintaining organized case files, generating department reports, and collaborating with Case Managers to ensure timely quality interventions.

Matching Summary

The Care Specialist coordinates referrals for medical care including outpatient, inpatient, skilled nursing, and equipment requests according to Sharp Rees-Stealy guidelines.

Salary

Hourly: $30.98 - $43.37; Range midpoint: $38.73; Not specified

Skills & Requirements

Must-have

  • 3 years managed health care experience
  • ICD and CPT coding class completion
  • Medical coding and data entry skills
  • Eligibility and benefit verification
  • Prior authorization submission process

Nice-to-have

  • Medical Assistant Program certification
  • HMO or delegated risk setting background
  • Strong analytical problem-solving skills
  • Ability to work independently with minimal direction
  • Experience with denial and appeal processes

Key Requirements

  • 3 years working in managed health care field
  • 1 year experience with medical coding and data entry
  • Successful completion of ICD and CPT coding classes
  • Proficiency in ICD, CPT, and HCPC coding systems

Work Rights

Not specified

Tailored Resume

Cover Letter