Title: Care Management Support Coordinator II

Location: REMOTE - EST/CST

Duration: 3* Months Contract *(Temp to hire)

Target Start Date (based on successful onboarding completion): 08/05/2024

Shift: 8:00 AM - 5:00 PM EST - Monday - Friday

Walk me through the day-to-day responsibilities of this the role and a description of the project:

• Assist in activities related to the medical and psychological aspects of utilization and coordinated care
• Outreach attempts via telephone to members assigned each day
• Consistently updating an Excel spreadsheet with member assignments listed
• Consistent communication with supervisor with each phone call- documentation is required in Virtual Health

Describe the performance expectations/metrics for this individual and their team:

• Must be able to make high volume of outbound calls
• Medical terminology
• Reliable home internet is required with dedicated workspace due to HIPPA (Hardwire internet connection) – Please put on Resume.
• Completing 80-120 phone calls a day to the Medicare Population
• Compliance is required to be 100% of all assigned members
• Engagement Rate will need to be at 80% or more a month
• Time off is not permitted in the first 90 days of employment unless pre-planned during the interview
• Audit score of a minimum of 90%
• Completion of 600 members a month is required (30 new members daily assigned)

Tell me about what their first day looks like:

• The candidate is given a meeting invite with the IT department to ensure all equipment and systems are up and running 100%. Once the meeting is completed then the temp associate will be completing all required training assigned to them by the supervisor. The trainings will take the entire first week to complete. Once all training is completed, then training for the actual job role will take place.

Required Skills/Experience/Education:

• 2 years of RECENT Member Outreach (Outbound Calls) Experience in a high-volume/fast-paced managed care setting, medical office, or facility setting with demonstration of medical administration duties. Thorough knowledge of customer service, utilization review, or claims processing practices in a managed care environment. Must comfortable working in a high volume/heavy call flow environment
• Knowledge of Medicare, Medical Terminology, Basic computer skills, Strong Typing Skills 40 WPM, Strong Proficiency in Microsoft Office (Word, Excel, Outlook, TEAMS), Communication skills, Time Management, Multitasking skills & Organizational skills are a MUST
• High School Diploma or GED required.

Job Type: Contract

Pay: $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical Claims / Authorization: 2 years (Required)
• Outbound calling: 2 years (Required)

Location:

• Louisville, KY (Required)

Ability to Commute:

• Louisville, KY (Required)

Work Location: Remote