Ambulatory Care Coordinator

hace 2 meses


Medellín Antioquia, Colombia Third Way Health, Inc. A tiempo completo

**Who we are**:
**About the position**:
We are seeking full-time Utilization Management agents to join our team in the Medellin area. As a valued member of our team, you'll play a crucial role in enhancing the healthcare experience for thousands of patients and providers in the US. In this role, you will perform prior authorization verification prior authorization and retrospective reviews for elective inpatient admissions, adhere to internal policies and procedures, perform any other job duties as requested. Weekend and holiday coverage may also be required based on business needs

**Responsibilities**:

- Conduct thorough prior authorization and retrospective reviews for elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment to ensure compliance and appropriate utilization.
- Make necessary calls as needed to ensure all parties are aligned throughout the process
- Assess and refer cases to Medical Directors when necessary, ensuring timely and accurate decision-making for complex cases.
- Stay updated on state and federal regulations, as well as accreditation standards, to ensure all processes meet required guidelines and industry standards.
- Follow internal policies and procedures diligently to maintain operational efficiency and uphold quality standards within the team.
- Undertake any other job-related responsibilities as assigned to support team objectives and contribute to overall operational success
- Accurately log cases in software platform to track and manage healthcare processes, AYCE and EZCAP, as necessary to ensure effective case handling and documentation.

**Required skills and qualifications**:

- University or associate degree preferred
- Required knowledge in health insurance (at least 8 months)
- Expertise in healthcare (US healthcare sector experience; does not need to be a nurse or doctor) and managing call center operations
- Great active listening skills
- A patient and empathetic attitude
- Strong time management and organizational skills
- Adaptability and flexibility
- Comfortable working in fast-paced environments
- Excellent troubleshooting skills
- Computer literacy and proven track record of working in multiple systems in parallel
- Phone skills, including familiarity with complex or multi-line phone systems



  • Medellín, Colombia Third Way Health A tiempo completo

    Who we are: Third Way Health () helps medical practices and healthcare organizations across the United States to improve the patient experience while reducing the administrative burden on practice owners and management. We enable practices and healthcare organizations to enhance the experience of their patients by providing them with a leading technology...


  • Medellín, Colombia Third Way Health, Inc. A tiempo completo

    Third Way Health ( ) helps medical practices and healthcare organizations across the United States to improve the patient experience while reducing the administrative burden on practice owners and management. We enable practices and healthcare organizations to enhance the experience of their patients by providing them with a leading technology platform and...

  • Care Coordinator

    hace 4 semanas


    Medellín, Antioquia, Colombia HRMD Solutions A tiempo completo

    Full On-Site in El poblado **Other benefits**: - Productivity and attendance bonuses - Loyalty bonus (every 6 months - Discounts in selected stores - Growing opportunities - Smarfit Black free (Gym membership) - Birthday off **Responsibilities**: - Handle and manage medical appointments, authorizations, and procedure follow-ups. - Process diagnoses,...

  • Clinical Care Coordinator

    hace 4 semanas


    Medellín, Antioquia, Colombia The Alvi Group A tiempo completo

    Job OverviewThe Alvi Group is seeking a highly skilled and compassionate Clinical Care Coordinator to join our team.We offer a competitive salary of $45,000 - $65,000 per year, depending on experience and qualifications.Responsibilities:Patient PreparationWe are looking for a detail-oriented individual who can ensure proper preparation for patient visits,...


  • Medellín, Antioquia, Colombia Rvstaffing A tiempo completo

    Rvstaffing, a dynamic and forward-thinking company in Medellin, is seeking a seasoned and results-driven Medical Care Coordinator to join Premier Med Group. We have partnered with one of New Jersey's top experts in vein and pain treatments who prioritizes delivering exceptional outcomes and creating a first-class experience.You will perform minimally...


  • Medellín, Antioquia, Colombia RVStaffing A tiempo completo

    **RedValley**, the fast-growing company in Medellín, is looking for a talented, and strategic, **Customer Care Specialist** to join **Premier Med Group**. We have partnered with one of New Jersey’s top experts in vein and pain treatments. Who cares about delivering results and creating a first-class experience. Perform mínimally invasive procedures with...


  • Medellín, Antioquia, Colombia RVStaffing A tiempo completo

    Medical Coordinator SpecialistAt VIP Medical Group, we strive to provide exceptional care and compassion to our patients.About the RoleThis is an exciting opportunity for a Scheduling Coordinator to join our team. As a Medical Coordinator Specialist, you will be responsible for answering incoming new patient scheduling phone calls, verifying insurance, and...


  • Medellín, Antioquia, Colombia Providence Health & Services A tiempo completo

    Job SummaryWe are seeking a dedicated Licensed Practical Nurse to join our team in Spokane. This role involves providing administrative and clinical support to our patients, working closely with the clinic staff to deliver high-quality care.


  • Montebello, Antioquia, Colombia United Surgical Partners International Inc (USPI) A tiempo completo

    **USPI Pueblo **_Surgery Center_**, **is seeking a motivated PreOP PACU Registered Nurse to join our team. Pueblo _Surgery Center_ is a fast paced ASC environment committed to producing the highest quality work and experience for patients and their families. **Job Summary** The RN Pre-op/PACU is a Registered Nurse that provides quality patient care using...

  • Logistics Coordinator

    hace 3 semanas


    Medellín, Antioquia, Colombia Talentek By Hubtek A tiempo completo

    **Description**: **Talentek by Hubtek** is a company that believes in young talent and seeks to support the development of its employees on a personal and professional level through learning experiences and growth opportunities. We support companies through our **Talent and Technology** services. We have been impacting the world **since 2018** and we want...

  • Rn Preop Pacu Prn

    hace 6 meses


    Montebello, Antioquia, Colombia United Surgical Partners International Inc (USPI) A tiempo completo

    **USPI Pueblo Surgery Center, **is seeking a motivated **RN PreOP/PACU** to join our team. Enjoy weekends off, with no holidays or call. Pueblo _Surgery Center_ is a fast-paced ASC environment committed to producing the highest quality work and experience for patients and their families. - Enjoy weekends off! - M-F daytime hours - ZERO call - 2 years of...

  • Or Manager Ft

    hace 7 meses


    Montebello, Antioquia, Colombia United Surgical Partners International Inc (USPI) A tiempo completo

    **Pueblo Surgery Center** is seeking a motivated **Operating Room** **Manager** to join our team. **_Pueblo Surgery Center_** is a fast-paced, multi-specialty Surgery Center committed to producing the highest quality work and experience for patients and their families. **Job Summary**: With hands on training, we are seeking a registered Nurse Manager in our...


  • Medellín, Antioquia, Colombia Freelance Latin America A tiempo completo

    Job OverviewWe are seeking a skilled Compensation and Benefits Coordinator to join our team at Freelance Latin America.About the RoleThe successful candidate will be responsible for ensuring accurate payroll processing, managing time-off requests, tracking payroll disputes, and preparing biweekly payroll for home care staff.Responsibilities:Manage paid...


  • Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completo

    About Us: Third Way Health, Inc. helps medical practices and healthcare organizations across the United States to improve the patient experience while reducing the administrative burden on practice owners and management. We enable practices and healthcare organizations to enhance the experience of their patients by providing them with a leading technology...


  • Medellín, Colombia RVStaffing A tiempo completo

    Job Description Patient Coordinators assess, plan, and advocate for the patient's health needs. As trained health professionals, they monitor and coordinate patient's treatment plans, guide them to understand the status of their health, and check in on their progress. Skills and Qualifications Understanding of the funding resources,...

  • Patient Care Coordinator

    hace 2 semanas


    Medellín, Colombia RVStaffing A tiempo completo

    Job Description Patient Coordinators assess, plan, and adovcate for the patient's health needs. As trained health professionals, they monitor and coordinate patient's treatment plans, guide them to understand the status of their health, and check in on their progress. Skills and Qualifications Understanding of the funding resources,...


  • Montebello, Antioquia, Colombia United Surgical Partners International Inc (USPI) A tiempo completo

    **USPI Pueblo Surgery Center, **is seeking a motivated **Clinical Manager **to join our team. _Pueblo Surgery Center _is a fast paced ASC environment committed to producing the highest quality work and experience for patients and their families. **Job Summary**: The Clinical Manager is responsible for the day-to-day operations of the operating room and...


  • Medellín, Antioquia, Colombia Rippling A tiempo completo

    About Third Way HealthWe're a healthcare technology company that helps medical practices and organizations improve the patient experience while reducing administrative burden.Our Mission:We aim to enhance the patient journey with our leading technology platform and world-class services.Job Overview:We're seeking a full-time Concierge Care Specialist for the...

  • SEO Coordinator

    hace 3 meses


    Medellín, Antioquia, Colombia Famvia Travel, Inc. A tiempo completo

    **Welcome to Famvia Travel** a family-first travel company! We are on a mission to help our clients enjoy a stress free family vacation. We have curated an experience that helps families plan, book and earn cash back on their trip. As our startup grows, famvia is looking for high agency folks who want to have an immediate impact as individual contributors...

  • Logistics Coordinator

    hace 2 semanas


    Medellín, Colombia Talentek By Hubtek A tiempo completo

    Talentek by Hubtek is a company that believes in young talent and seeks to support the development of its employees on a personal and professional level through learning experiences and growth opportunities. We support companies through our Talent and Technology services. We have been impacting the world since 2018 and we want to keep pushing ourselves to...