Case Management Assistant (Cma)(Remote) ($19.08 - $29.04 / Hour)

Advantages Of Joining Our Team

At employer, we prioritize the well-being of our employees, fostering a culture of wellness. By joining our team, you can expect the following benefits:

• Opportunities for professional growth and development
• Competitive compensation and hourly rate based on experience
• Meaningful work that makes a difference in the lives of individuals and communities
• Comprehensive benefits package that covers a wide range of programs to support your overall well-being
• Collaborative and supportive work environment

Job Essentials

• Consistently document all communication, actions, and information
• Assist with special programs and data collection for process improvement projects
• Support advanced care planning by delivering advance directive information and notarizing documents
• Ensure online provider lists are current in all systems to support a compliant patient choice process
• Serve as the primary contact with payers, prioritizing requests and obtaining authorization for services
• Deliver regulatory notices to patients within required timeframe
• Collaborate with revenue cycle staff to research payment sources
• Perform various clerical tasks to support care management services, such as preparing reports, scheduling appointments, and distributing requests
• Report issues and concerns to departmental chain-of-command
• Maintain up-to-date list of contractual requirements and contact information for payers, distributing new information to care management staff and leaders
• Request and retrieve medical records for utilization or quality assurance review
• Communicate utilization review needs, days authorized, denials, and other payer communication to care managers and physician advisors
• Provide support for transition planning, including preparing transfer packets and arranging transportation

Minimum Qualifications

• Experience coordinating projects
• Basic math skills
• Proficient interpersonal verbal and written communication skills, including spelling, punctuation, grammar, and other English language skills
• Advanced computer skills, including proficiency in developing spreadsheets, creating charts and graphs, word processing, and creating presentations
• 2 years of experience working in an office setting, clerical position, or customer service role
• 1 year of experience working in a clinical healthcare setting

Preferred Qualifications

• College courses related to healthcare, business, or computer/information systems
• Experience with medical terminology
• Experience with medical transcription
• Bilingual proficiency

Physical Requirements

• Operate computers, telephones, and office equipment
• See and read computer monitors and documents
• Interact with others, verbally communicate, and understand spoken information
• Remain sitting or standing for long periods of time

Additional Information

• Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
• Employer is an equal opportunity employer

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