Case Management Care Coordinator - REMOTE ! M-F 8-5 Mountain or Central Time

Shelby American, Inc.; Phoenix (AZ); Remote; Full time

Job summary

An established industry player is seeking a dedicated Care Coordinator to enhance operational efficiency within a collaborative team. This role involves providing essential support to Case Managers, managing data integrity, and ensuring effective communication with clients and medical professionals. The ideal candidate will thrive in a fast-paced environment, possess strong organizational skills, and demonstrate a professional demeanor. This position offers a full-time opportunity with a focus on remote work, providing flexibility while contributing to meaningful patient care. Join a forward-thinking organization that values your contributions and offers competitive pay and comprehensive benefits.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K

Paid Time Off

Paid Holidays

Monthly Internet Stipend

Qualifications

• Preferred AS/AA degree or two years of college.
• Experience in a medical office and customer service is strongly preferred.

Responsibilities

• Provide accurate information to callers and triage telephone calls.
• Maintain data integrity in claims management and Ahshay database.
• Support clinical staff with scheduling and claims adjudication.

Skills

Medical terminology

Customer service

Communication skills

Organizational skills

Computer literacy

Education

AS/AA degree or two years of college

Tools

MS Word

MS Excel

Email

Internet

Job description

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, Standard eight (8) hour workday, Monday-Friday, 8am-5pm MT or CT - Remote

Responsibilities:

• Provide accurate information to callers based on customer requests; triaging telephone calls to direct the caller for clinical consultation and for case manager
• 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 $17-18/hr
• Medical, Dental, Vision Insurance
• 401K
• Paid Time Off
• Paid Holidays
• Monthly Internet Stipend

Requirements:

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