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Job Requirements of Case Management Processor:
-
Employment Type:
Contractor
-
Location:
Spokane, WA (Onsite)
Do you meet the requirements for this job?
Case Management Processor
Careers Integrated Resources Inc
Spokane, WA (Onsite)
Contractor
Job Title: Case Management Processor
Duration: 6 Months
Location: WA (Fully remote must reside outside greater Seattle of WA )
Pay rate: $26.58/hr.on w2
Job Description:
Required Education:
High School Diploma or G.E.D.
Required Experience:
Comments for Suppliers:
Duration: 6 Months
Location: WA (Fully remote must reside outside greater Seattle of WA )
Pay rate: $26.58/hr.on w2
Job Description:
- Will the position be 100% remote? Yes
- Are there any specific location requirements? WASHINGTON (outside greater-Seattle)
- Are there are time zone requirements? PST
- What are the must have requirements? 2+ years of customer services experience, proficient in Microsoft office applications, comfortable being on phones.
- What are the day to day responsibilities? Outbound calls, emails, and processing of unable to contact requests.
- Is there specific licensure is required in order to qualify for the role? N/A
- What is the desired work hours (i.e. 8am – 5pm)- 8am – 5pm
- What additional equipment besides a laptop, keyboard, mouse and headset will be required for this candidate to be successful in this role? 2 monitors
- Duties and Responsibilities (List all essential duties and responsibilities in order of importance)Provides support to the Case Management staff performing non clinical activities and supporting the management
- of the department.
- Responsible for initial review and triage of Case Management tasks.
- Reviews data to identify principle member needs and works under the direction of the Case Manager to implement
- care plan.
- Screens members using Client policies and processes assisting clinical Case Management staff as they identify
- appropriate medical services
- Coordinates required services in accordance with member benefit plan.
- Promotes communication, both internally and externally to enhance effectiveness of case management services
- (e.g., health care providers and health care team members).
- Runs reports to assist in coordination of case management needs.
- Provides support services to case management team members by answering telephone calls, taking messages
- and researching information.
- Maintains accurate and complete documentation of required information that meets risk management, regulatory,
- and accreditation requirements.
- Protects the confidentiality of member information and adheres to company
- ( List all knowledge, skills and abilities that are necessary to perform the job satisfactorily)Strong customer service skills to coordinate service delivery including attention to members/customers, sensitivity
- to concerns, proactive identification and resolution of issues to promote positive outcomes for members
- Demonstrated ability to communicate, problem solve, and work effectively with people
- Working knowledge of medical terminology and abbreviations
- Ability to think analytically and to problem solve.
- Good interpersonal/team skills
- Must have a high regard for confidential information
- Ability to work in a fast paced environment
- Able to work independently and as part of a team.
- PC experience in Windows environment and accurate data entry at 40 WPM minimum.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
- Ability to establish and maintain positive and effective work relationships with coworkers, clients, members,
- providers and customers
Required Education:
High School Diploma or G.E.D.
Required Experience:
- Two or more years experience as a medical assistant, office assistant or other healthcare service administrative support role.
Comments for Suppliers:
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