Case Coordinator

AllMed Healthcare Management; United States; Remote; USD 40,000 - 53,000; Full time

Job summary

A leading healthcare management company is seeking a Case Coordinator to ensure quality and compliance for various cases. This fully remote role involves quality assurance, detailed reporting, and collaboration with multiple departments. Candidates should have a high school diploma, two years of relevant experience, and a strong grasp of medical terminology and communication skills.

Benefits

Medical Benefits

Vision Benefits

Dental Benefits

Paid Time Off

401k Plan

Qualifications

• Must have strong knowledge of medical terminology, anatomy, and physiology.
• Must be able to type at least 40 words per minute.
• Ability to compute rates and percentages is required.

Responsibilities

• Perform quality assurance reviews of submissions.
• Ensure compliance with client instructions and company standards.
• Provide insight and direction on consultant quality and compliance.

Skills

Attention to Detail

Strong Verbal Communication

Excellent English Usage

Accuracy and Thoroughness

Confidentiality

Independence

Ability to Work Under Pressure

Team-oriented Collaboration

Education

High School Diploma or Equivalent

Two Years Clinical or Related Field Experience

Knowledge of Insurance Industry (claims management)

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Job description

Join to apply for the Case Coordinator role at AllMed Healthcare Management

Join to apply for the Case Coordinator role at AllMed Healthcare Management

Description

Have a sharp eye and keen attention to detail? Do you have editing and/or proof-reading experience? Are you someone who has

Description

Have a sharp eye and keen attention to detail? Do you have editing and/or proof-reading experience? Are you someone who has strong verbal communication skills?

Then consider our fully remote Case Coordinator role. The schedule for this role is Tuesday to Saturday 8:00am-4:30pm PST.

The Case Coordinator is responsible to ensure reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist with all aspects of case processing and provide overall support to all departments, reviewers and clients.

Responsibilities

• Performs quality assurance review of submissions and completed reports.
• Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
• Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
• Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
• Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
• Promotes effective and efficient utilization of company resources.
• Participates in various educational and or training activities as required.
• Performs other duties as assigned.
  
  

Qualifications

EDUCATION AND/OR EXPERIENCE

• High school diploma or equivalent required.
• A minimum of two years clinical or related field experience, or equivalent combination of education and experience.
• Knowledge of the insurance industry preferably claims management relative to one of more of the following categories: workers compensation, no-fault, liability, and/or disability.
  
  

Qualifications

• Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
• Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
• Must be a qualified typist with a minimum of 40 W.P.M
• Must be able to operate a general computer, fax, copier, scanner, and telephone.
• Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Must possess excellent skills in English usage, grammar, punctuation and style.
• Ability to accurately follow instructions and respond to directions from upper management.
• Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team-oriented environment.
• Must be able to stay focused and concentrate under normal or heavy distractions.
• Must be able to work well under pressure and or stressful conditions.
  
  

About Us

AllMed provides clinical decision making and utilization management solutions to leading payer and provider organizations. We work closely with your team toward a shared vision of healthcare that delivers the highest quality, values patient experience, and ensures both appropriate care and utilization of health-related services.

Our solutions are developed and delivered by experts—they are thoughtfully designed to integrate seamlessly into your organization and help you deliver the right care to the right patients at the right time.

AllMed offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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