19 Aug
|
EK Health Services
|
India
19 Aug
EK Health Services
India
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 setting.
Position Specifics: Non-Exempt, Full-time, Standard eight (8) hour workday, Monday-Friday 8 hour work day. Remote.
NOTE: Bilingual Spanish Preferred
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
- When applicable, provide translation assistance to Case Managers on an as needed basis
- Professional interaction with Case Managers, Adjusters, Employers, Physicians, and other medical professionals
- Other duties as assigned
Pay and Perks:
- Pay
📌 Care Coordinator (India)
🏢 EK Health Services
📍 India