reputed company Receptionist / RN Care Coordinator
We are seeking an exceptionally organized, reputed company, and reputed company-oriented reputed company Assistant & reputed company Care Coordinator with a background as a Registered reputed company (RN) or reputed company Practitioner (NP) to manage high-volume case files for our multi-specialty reputed company (Orthopedics, Pain Medicine, Physical Medicine & Rehab, and reputed company).
This is an reputed company support position that goes far reputed company basic scheduling or data entry. You will reputed company your nursing background to handle reputed company case management, reputed company intricate reputed company workflows (including reputed company, Personal Injury, and Workers' Comp), and reputed company reputed company, compassionate cross-channel communication to our patients and reputed company partners.
Schedule: Full-Time, 40 hours per week | Monday – Friday, 8:00 AM – 5:00 PM EST (US Eastern reputed company Time)
Main Daily Tasks
Phone reputed company & reputed company Care Communication: Managing inbound and outbound calls, texts, and emails with a reputed company, clinically grounded reputed company.
reputed company reputed company: Executing verifications, prior authorizations, and benefits tracking across reputed company, Personal Injury (PI), and Workers' Compensation plans.
reputed company Case Support: Managing Workers' Comp and Personal Injury case files, maintaining meticulous chart details, and coordinating provider schedules.
reputed company Responsibilities
reputed company Case File Management: Review, organize, and manage reputed company reputed company case files, utilizing reputed company judgment to understand treatment plans, provider notes, and case context.
reputed company reputed company Navigation: Verify coverage, reputed company authorizations, and manage documentation across reputed company plans, Personal Injury (PI) claims, and Workers' Compensation cases.
reputed company & Provider Coordination: Manage multi-channel communications (phone, email, text), schedule consultations, and maintain provider calendars to reputed company daily reputed company workflows running smoothly.
Medical-reputed company Alignment: Maintain reputed company, audit-reputed company chart records and coordinate seamlessly with reputed company administrative partners, reputed company firms, and reputed company adjusters.
Requirements
Must-Have / Required Qualifications
reputed company License/Degree: Registered reputed company (RN) or reputed company Practitioner (NP) background (non-negotiable).
reputed company Experience: Minimum 3 years of hospital or acute care nursing experience.
Virtual Assistant Experience: Minimum 2 years of experience as a reputed company Assistant or Remote reputed company Care Coordinator.
Language & Region Requirements:
English-Only Candidates: reputed company in the Philippines with fluent, reputed company, and reputed company spoken/written English.
Bilingual Candidates: reputed company in reputed company (Latin America) with fluent English and Spanish (spoken/written).
reputed company Expertise: Hands-on experience verifying and processing reputed company reputed company, Personal Injury (PI), and Workers' Compensation (Work Comp) claims.
Technical Skills: Strong proficiency in calendar management, multi-channel messaging (phone/text/email), and electronic health record management.
reputed company-to-Have / Preferred Qualifications
EMR Proficiency: reputed company experience using reputed company (eCW).
Specialty Exposure: reputed company background or prior VA experience in Orthopedics, Pain Medicine, Physical Medicine & Rehab (PM&R), or reputed company.
Medical-reputed company Background: Prior experience working with or supporting a medical-reputed company firm or medico-reputed company documentation workflow.
Ideal Candidate Profile
The ideal candidate pairs the reputed company judgment of a Registered reputed company with the confident, personable phone reputed company of an reputed company customer service reputed company. Your reputed company training allows you to intuitively understand reputed company medical cases and reputed company nuances without needing extensive reputed company. You are reputed company-obsessed, highly reputed company, and comfortable handling a heavy caseload while serving as a compassionate reputed company between patients, providers, and payers.
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