Reporting to the CM Operations Manager, the Care Coordinator will work closely with the Case Managers for reporting, care coordination phone calls, and other administrative duties. The Care Coordinator will increase efficiency of operations by providing general customer support duties and by supporting the Case Manager and operations staff in a team environment. Position Specifics: Non-Exempt, Full-time, Standard eight (8) hour workday, Monday-Friday, Pacific Standard Time (PST) Remote. Responsi... more details
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Job Type
Full-time
Description
Reporting to the CM Operations Manager, the Care Coordinator will work closely with the Case Managers for reporting, care coordination phone calls, and other administrative duties. The Care Coordinator will increase efficiency of operations by providing general customer support duties and by supporting the Case Manager and operations staff in a team environment.
Position Specifics: Non-Exempt, Full-time, Standard eight (8) hour workday, Monday-Friday, Pacific Standard Time (PST) Remote
Responsibilities:
Provide accurate information to callers based on customer requests; triaging telephone calls to direct the caller for clinical consultation and for case managers
Enter new claims data into the claims management system accurately; maintain data integrity in scanning, uploading, indexing and data entry
Maintain the data integrity of the Ahshay database, which involves verifying and updating information for service providers, adjusters, and attorneys
Use predetermined client criteria to triage new Case Management referrals. Complete the triage process, which does not include medical assessment. When applicable, transition to full Telephonic Case Management and assign to the designated Case Managers
Generate appropriate letters and reports in Ahshay and distribute them to the appropriate parties per client guidelines and EK workflow
Support clinical staff through the completion of components of case management, including but not limited to appointment scheduling, diagnostic test scheduling, requesting medical records, faxing materials, mailing/e-mailing already identified education materials, scheduling delivery of already negotiated and approved DME, and facilitating claims adjudication
Professional interaction with Case Managers, Adjusters, Employers, Physicians, and other medical professionals
Other duties as assigned
Pay, Benefits and Perks:
This position pays $18-20/hr based on experience, education and location.
Medical, Dental and Vision Insurance
401K
Paid Time Off
Paid holidays
Computer equipment provided
Monthly internet stipend
Requirements
AS/AA degree or two (2) years of college preferred
Experience in a medical office environment preferred
Medical terminology strongly preferred
Previous customer service experience in fast paced environment preferred
Able to communicate with customers at all levels
Must be computer literate with a high comfort level with computers and computer programs (i.e. MS Word, MS Excel, Email, and Internet
Physical Requirements:
Candidate must be able to sit the majority of an 8-hour day except for lunch and break times. Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times. Candidate must have manual dexterity. Candidate must be able to speak on the telephone intermittently throughout the day. Candidate must be able to read and write English fluently. Candidate must be able to provide and confirm a safe home office environment. Home office must be HIPAA compliant.
*Requires DSL, fiber, or cable internet connection from home 100 Mbps preferred or better. *
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