Overview:
We are seeking a dedicated and compassionate Case Manager to join our team. As a Case Manager, you will be responsible for providing support to the Care Management/Utilization Review Department.
Essential Functions
- Assist in seamless communications between the insurance companies by coordinating and checking the outcomes of precertification, concurrent clinical reviews, doctor-to-doctor, and denial results.
- Provide communication with the Finance Department and treatment team on insurance status.
- Facilitate the appeal processes in collaboration with clinical and financial teams.
- Assist in prompt communication of discharge plans that insurance companies require.
- Coordinated medical record requests from insurance companies.
Experience:
- Previous experience in billing, claims, utilization review or a related field is preferred.
- Knowledge of HIPAA regulations and confidentiality protocols
- Familiarity with medical terminology, ICD-9 coding, and medical records management
- Experience working in acute care or behavioral health settings is a plus
- Strong organizational skills with the ability to prioritize tasks and manage time effectively
- Excellent communication skills, both written and verbal
We offer competitive compensation and benefits packages, including health insurance, retirement plans, and paid time off. Join our team and make a difference in the lives of those we serve!
Job Type: Full-time
Pay: From $19.00 per hour
Expected hours: 40 per week
Benefits:
Medical specialties:
Schedule:
Work setting:
Experience:
Ability to Commute:
Ability to Relocate:
Willingness to travel:
Work Location: In person
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