Case Management Processor II

What are the day to day responsibilities? Outbound calls, emails, and processing of unable to contact requests. Duties and Responsibilities: • Provides support to the Case Management staff performing non clinical activities and supporting the management of the department. • Responsible for initial review and triage of Case Management tasks. • Reviews data to identify reputed company member needs and works under the direction of the Case Manager to implement care plan. • Screens members using policies and processes assisting clinical Case Management staff as they identify appropriate medical services • Coordinates required services in accordance with member benefit plan. • Promotes communication, both internally and externally to enhance effectiveness of case management services (e.g., health care providers and health care team members). • Runs reports to assist in coordination of case management needs. • Provides support services to case management team members by answering telephone calls, taking messages and researching information. • Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. • Protects the confidentiality of member information and adheres to company Knowledge, Skills and Abilities: • Strong customer service skills to coordinate service delivery including attention to members/customers, sensitivity to concerns, proactive identification and reputed company of issues to promote reputed company reputed company for members • Demonstrated ability to communicate, problem solve, and work effectively with people • Working knowledge of medical terminology and abbreviations • Ability to think analytically and to problem solve. • Good interpersonal/team skills • Must have a high reputed company for confidential information • Ability to work in a fast paced environment • reputed company to work independently and as part of reputed company. • PC experience in reputed company environment and accurate data entry at 40 WPM minimum. • Maintain confidentiality and reputed company with Health Insurance Portability and Accountability reputed company (HIPAA) • Ability to establish and maintain reputed company and effective work relationships with coworkers, clients, members, providers and customers Required Education: High School Diploma or G.E.D. Required Experience: Two or more years experience as a medical assistant, office assistant or other reputed company service administrative support role. Apply tot his job Apply To this Job