Case Management Care Coordinator - Workers Compensation

Description

Please note: At this time, we are not accepting or considering applicants residing in California (CA), New York (NY), or

Hawaii (HI).

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, 8 am - 5 pm, Mountain Time or Central Time. 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
• When applicable, provide translation assistance to Case Managers on an as needed basis
• Professional interaction with Case Managers, Adjusters, Employers, Physicians, and other medical professionals
• Other duties as assigned

Pay and Perks:

• Pay: $20-22/hr based on experience, certifications, education and location
• Medical, Dental and Vision Insurance
• 401K
• Paid Time Off
• Paid Holidays
• 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
• Professional demeanor with excellent written and oral communication skills
• Strong organization skills
• 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)
• Basic clerical and administrative skills
• Must be accurate and efficient
• Must be punctual and dependable
• Able to maintain focus and positive attitude in a fast-paced environment
• Able to work independently with minimal supervision in a team-oriented environment
• Able to meet deadlines in a high pressure, time sensitive environment
• Able to multi-task
• Able to understand and carry out written and oral instructions
• Able to lift to 25 lbs.

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.