THIRD-PARTY ADMINISTRATION SERVICES FOR THE COMMUNITY CARE PROGRAM SERVICING MEDICALLY UNDERSERVED PERSONS IN MUSCOGEE COUNTY (ANNUAL CONTRACT)

The Columbus Consolidated Government is seeking a Third-Party Administrator to manage administrative services for the Community Care Program, which serves medically underserved persons in Muscogee County. The requested administrative services include the management of claims related to medical, pharmaceutical, and mental health services. The TPA will be responsible for processing and managing claims, verifying eligibility, coordinating payments, and reporting to the City. Some key aspects of the job include: • Managing claims for acute inpatient and outpatient hospital care, x-ray, laboratory, and primary medical care • Processing and managing claims • Verifying eligibility • Coordinating payments • Reporting to the City