Case Management Assistant

Moosic, PA Full Time
POSTED ON 5/8/2024

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:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid sick time
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Medical specialties:

  • Psychiatry

Schedule:

  • 8 hour shift

Work setting:

  • Inpatient
  • In-person

Experience:

  • Customer service: 1 year (Preferred)

Ability to Commute:

  • Moosic, PA 18507 (Preferred)

Ability to Relocate:

  • Moosic, PA 18507: Relocate before starting work (Required)

Willingness to travel:

  • 25% (Preferred)

Work Location: In person

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