What are the responsibilities and job description for the Case Manager position at Prove Partners?
About Us:
- PROVE Partners, LLC, founded in 2003 and based in Las Vegas Nevada, is a patient-centric complex claims administration and healthcare finance company that provides innovative services and financial products to injury victims, medical providers and law firms in the United States.
- PROVE is primarily engaged in a fast-growing form of specialty reimbursement commonly referred to as medical lien funding that enables victims of third-party liability accidents (e.g., motor vehicle collisions) to access healthcare in their greatest time of need.
- PROVE is more than a medical lien funder—we offer patients a full-suite of financial products including co-pay and deductible finance and pre-settlement loans, providers with comprehensive revenue cycle solutions including outsourced complex claims administration, and attorneys with patient concierge services and technology solutions to manage caseloads, reduce overhead and most importantly, maximize the outcome for their clients.
- PROVE maintains a fortressed balance sheet, supported by a group of institutional capital partners that manage more than $16 billion in assets under management.
- PROVE is backed by C9 Partners, LLC, a Los Angeles-based private equity firm focused on making investments in US-based businesses at intersection of financial services, specialty finance, and healthcare services.
Our Mission: We help injury victims at their greatest time of need.
Our Core Values: PROVE Partners wants to make an IMPACT on the lives of the patients we help, the clients we work with, and the team we treasure.
- I = Innovate Daily
- M = More…with Less
- P = Pursue Growth and Learning
- A = Accountability
- C = Communication
- T = Teamwork
Job Summary:
- A Case Manager (Remote) with PROVE Partners will coordinate with law firms on matters related to personal injury cases and the medical treatment their client receives. In coordination with the PROVE Operations Team will handle everything from the beginning of the case through case resolution. This will include case intake, ensuring clients get scheduled with our recommended network of doctors and requesting and reviewing medical records and bills. You will consistently communicate with law firms via the portal, email and phone to ensure the highest level of customer service.
Job Duties:
Core Job Function:
- You will communicate and build rapport with law firms to facilitate a seamless process for their clients to access medical care required as a result of an injury.
Ancillary Job Functions
- The Case Manager will be responsible to gather all information necessary to present the underwriter with a complete file for determination of funding.
- The Case Manager will be responsible to underwrite the case to the level of authorized funding.
- If the case is authorized for funding or declined for funding, the Case Manager is responsible to communicate this status with the provider and the attorney.
- The Case Manager is responsible to update CORE as required for ongoing medical lien funding.
- The Case Manager will be responsible to ensure that all documents received are saved into the appropriate locations. (letter of authorization to fund, letter to decline funding, copy of the lien)
- The Case Manager will schedule patients with medical providers in the PROVE Provider Network and follow up with the patient and attorney for each medical encounter.
- Provide education for attorney firms and providers on the PROVE Portal. You will encourage utilization and identify any barriers to use.
- Correspond with attorney offices and providers to obtain all relevant case information.
- Manage phone, fax, email, and attorney portal information for each case
- Develop and maintain productive customer relationships
- Maintain HIPAA compliance with all correspondence
- Deliver optimal customer satisfaction through timely, accurate case processing.
- Perform other related duties as assigned by the Director of Case Management or VP of Operations.
Skills and Qualifications
- Minimum of 2 years’ experience as a case manager in the medical lien funding space.
- Paralegal with personal injury experience, preferred
- Knowledge of medical terminology, preferred
- Associates or bachelor’s degree, preferred
- Strong customer satisfaction skills
- Ability to excel in a fast-paced, team environment with a high degree of personal accountability
- Commitment to detail and quality
- Possess a sense of curiosity
- Interpersonal communication skills that drive success
- Proficient in Microsoft Windows/Office/Excel/Adobe/Scheduling software/Video Conferencing
- Familiarity with HubSpot preferred
- Ability to work at a computer while on the telephone for up to 8 hours a day
- Bilingual or multilingual preferred
Ideal Candidate Profile
- Experience in personal injury cases
- Experience in case management
- Experience in medical appointment scheduling
- Has outstanding customer service skills
Salary : $1,000 - $1,200
