Medical Specialist
First Transit - Centennial, CO

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Job Description: In the Centennial Operations Center, the Medical Specialist is responsible for managing the transportation assessment process for the Operations Department.

Responsibilities:
  • Perform utilization review for the Medicaid NEMT program
  • Determine least-cost appropriate transportation method for Medicaid customer based on documentation and information collected
  • Assists in determining closest appropriate provider of services
  • Issues notices of action for denied, reduced, or suspended requests
  • Adheres to all HIPAA regulations
  • Reviews all level II transportation assignments (ambulance, air ambulance, air travel, extended travel, etc.)
  • Interfaces with appropriate state, regional, and local authorities and agencies
  • Engages in customer outreach activities to explain the services and restrictions
  • Other duties as assigned

This is an hourly position, Monday - Friday, excluding holidays.
Hours are 7:30 am - 4:30 pm, with a 1 hour lunch.


Job Requirements
  • Bachelor’s degree in medical field
  • RN or LPN certification in the state of Rhode Island
  • Excellent verbal and interpersonal skills
  • Excellent judgment and problem solving skills, particularly in personnel management
  • Computer skills in Microsoft Office and ability to learn new software
  • Knowledge of Medicaid transportation beneficial
  • Ability to proficiently operate a computer with a keystroke speed of no less than 35 corrected words per minute
  • Ability to sit or stand for extended periods of time
  • Ability to communicate clearly in the English language; foreign language proficiency beneficial
  • Ability to use a standard business telephone system for communication
  • Ability to work in a multitasking, high-stress environment

First Transit

13111 East Briarwood Avenue

Suite 260

Centennial, CO 80112

Equal Opportunity Employer

FirstGroup - 22 months ago - save job
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