Case Management Care Coordinator - REMOTE ! M-F 8:30 - 5:30 Pacific or Mountain Time

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This a Full Remote job, the offer is available from: Oregon (USA), Utah (USA)

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, 8:30am - 5:30pm PST or MT, Monday-Friday, 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 and Perks:

  • Pay $18-20/hr based on experience, education and location
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Time Off
  • Paid Holidays
  • Monthly internet stipend
  • Equipment is provided


Requirements

Requirements:

  • AS/AA degree or two (2) years of college preferred
  • Experience in a medical office environment preferred
  • Medical terminology strongly preferred
  • Bilingual Spanish 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)

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. *

This offer from "EK Health Services Inc." has been enriched by Jobgether.com and got a 80% flex score.
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

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With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

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The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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