Case Management Processor

Remote: New York, New York, US

Salary: $26.00 Per Hour

Job Code: 353452

End Date: 2024-10-04

Job Status: Expired

This Job is no longer accepting applications
Position Details:                            
Industry                         Healthcare             
Job Title                         Case Management Processor 
Work Location               New York, NY - 10003             
Duration                         3 Months                           
                        
Job Description: 
  • 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 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
Knowledge, Skills and Abilities ( 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 Years of Experience: 1-3 years’ experience in an administrative support role in healthcare.
 
Job Requirement
  • administrative support
  • customer service
  • case management
  • HIPPA
  • documentation
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Srividhya M
  • srividhya.m@collabera.com
This Job is no longer accepting applications
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