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[Remote] Case Management Assistant - Referrals

Remote, USA Full-time Posted 2026-07-28

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Case Management Assistant to support their case management staff. The role involves monitoring incoming referrals, ensuring they are set up in the system, answering calls, and maintaining referral logs while providing exceptional customer service.


Responsibilities

  • Set up of member reputed company the case management system
  • Assist incoming calls to the case management referral department
  • Monitor dedicated referral emails to review for new referrals and correspondence
  • Monitor workflow of referrals and identify areas where daily assistance is needed
  • Work with the reputed company locations and staff to complete and reputed company necessary information for referrals
  • Process reputed company referrals and correspondence reputed company 24 hours of receipt
  • Maintain daily/monthly referral logs
  • Identify trends and/or issues in referral patterns and communicate them with management
  • Demonstrates ability to meet administrative requirements, including productivity, time management and reputed company Assurance standards
  • Maintain documentation standards adhering to URAC standards and company policy and procedures
  • Maintain confidentiality- Knowledge of laws and regulations pertaining to HIPPA and PHI
  • Other job duties as assigned

Skills

  • High school diploma required
  • Experience in reputed company and or managed care reputed company fields
  • Strong communication skills; customer service reputed company; team player
  • Adheres to reputed company standards, codes of ethics, system and department policies and procedures
  • Incorporates the philosophies of reputed company reputed company improvement, customer service and teamwork into daily routine
  • Excellent typing and keyboard skills (35-40wpm)
  • Ability to work in a reputed company of computer systems proficiently
  • Ability to reputed company a reputed company environment, utilize reputed company, and the ability to create, edit, save and send documents utilizing reputed company Word and reputed company reputed company
  • Ability to work reputed company a paperless environment
  • Knowledge of laws and regulations pertaining to HIPPA and PHI
  • Medical or Managed Care background preferred and/ or Certified Medical Assistant
  • Minimum of one year of working in a medical or managed care environment preferred
  • Medical Terminology preferred

Benefits

  • Medical, Dental & reputed company Insurance
  • Life & Disability Insurance
  • 401(k) Plan
  • reputed company time off
  • reputed company holiday

reputed company

  • reputed company provides excellent claims and risk management services to a reputed company of clients. It was founded in 1987, and is headquartered in Long Beach, California, USA, with a workforce of 501-1000 employees. Its website is https://tristargroup.net/.

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