• Committee Meeting Coordinator

    AmeriHealth CaritasPhiladelphia, PA 19133

    Job #1336816449

  • Committee Meeting CoordinatorLocation: Philadelphia, PAPrimary Job Function: OperationsID: 19265Your career starts now. We're looking for the next generation of health care ~~~ AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at ~~~ .Responsibilities:The Committee Meeting Coordinator is responsible for supporting member appeal committee meeting scheduling and support activities.+ Works within the Clinical Appeals area and ensures that member and participant (LTSS) committee meetings have the appropriate representation and are scheduled within the contractual required period.+ Responsible for scheduling the committee date, time and desired meeting format (telephonic, videoconference or in-person) with the member, participant and any third-party representatives.+ Schedules other required committee members as dictated by department policies.+ Processes any changes as requested by the member, participant or other committee member once meetings are scheduled.+ Enters appropriate data into the Appeals Scheduling Tool.+ Provides other Appeals support including assisting, when necessary the area Transcriptionist with recorded dictation of doctor or other healthcare professional, transcribe and interpret the dictation of the Appeals panel meeting and upload to the Member record, review and edit drafts prepared by speech recognition software and translate medical abbreviations and jargon into the appropriate long form.Education/ Experience:+ High School/GED.+ 1 to 3 years experience.Other Skills:**+ Prior Customer Service experience-ability to speak with members and/ representative.+ Ability to write detailed notes.+ Familiar with appeal process is a plus.+ Proficient PC skills in a Windows based environment including word processing, spread sheets and working in database programs.+ Proven ability to keep accurate and timely records and documentation according to established processes.+ Working knowledge of appeal process (for supported areas) is preferred.EOE Minorities/Females/Protected Veterans/Disabled