Intake Coordinator - Remote | Wfh

We are seeking a dedicated and compassionate Healthcare Case Management Associate to join our dynamic team. In this role, you will play a crucial part in assisting patients and their representatives by providing exceptional support and guidance throughout their healthcare journey. Your expertise in medical record review and exceptional customer service will contribute to improving the lives of our valued members. As a part of our team, you will uphold our commitment to excellence and professionalism.
Primary Responsibilities
Empathetic Call Handling: Respond promptly and warmly to calls within our call center, ensuring each caller receives the assistance they need in a timely manner.
Precise Data Collection: Gather accurate data from patients, physicians, and hospital representatives to verify member eligibility, plan participation, and provider status.
Efficient Case Management: Utilize our Medical Management system to create cases following departmental guidelines, maintaining organized workflows throughout the process.
Thorough Documentation: Enter essential case information, including transcription of clinical details, ensuring the accuracy of records.
Supportive Communication: Engage with employers, employees, physicians, and insurance adjusters over the phone to determine medical requirements, future care needs, and necessary medical procedures.
Record Maintenance: Ensure meticulous record-keeping for individual cases, including the secure storage of correspondence and documentation.
Collaborative Care: Communicate with patients about the potential need for additional medical information for review and certification by our Nurse Case Reviewer.
Facilitate Care Plans: Assist in the discharge planning for workers’ compensation patients, guiding participants to suitable facilities and providers while considering their preferences and special circumstances.
Quality Assurance: Adhere to established quality standards and uphold company policies and procedures in all interactions.
Correspondence Handling: Prepare and send mail to members, providers, and facilities as needed.
Open Communication: Address and document any concerns, complaints, or issues and communicate them effectively with your direct supervisor.
Compassionate Engagement: Approach all interactions with kindness, care, and a positive attitude, fostering a supportive environment for both customers and colleagues.
Essential Qualifications
Educational Background: While a Bachelor’s degree is preferred, candidates with a high school diploma or GED are also welcome to apply.
Medical Record Expertise: Showcase your skills in medical record review, contributing to accurate and thorough case management.
Exceptional Communication: Demonstrate outstanding customer service skills and effective communication abilities, both written and verbal.
Problem-Solving: Exhibit the capability to define problems, gather necessary data, and establish factual information to aid decision-making.
Computer Proficiency: Display proficiency in Microsoft Word and Excel, as well as strong data entry skills. Familiarity with working in a database environment is a plus.
Medical Terminology: Familiarity with medical terminology will be advantageous in understanding and conveying medical information.
Industry Knowledge: While not mandatory, current knowledge of workers' compensation and legislative issues will be valuable.
Previous Experience: Previous experience in case management for insurance claims or related fields will be considered an asset.
Join our team and contribute to a compassionate and efficient healthcare support system. If you have the dedication to make a positive impact on individuals' lives, we invite you to apply. Your commitment to excellence aligns with our mission to provide the best care and support to our members.
Employment Type: Full-Time
Salary: $ 19.00 26.00 Per Hour