Medical Case Specialist I - WTS (Wed-Sun) Accounting - San Dimas, CA at Geebo

Medical Case Specialist I - WTS (Wed-Sun)

2.
8 Quick Apply Full-time 2 hours ago Full Job Description Are you someone who has a knack for details and a passion for helping others? If so, we would love to speak with you! QTC is seeking a qualified candidate for a Medical Case Specialist (MCS) opportunity on our Veterans Affairs Operations team.
You will serve as the face of the organization through direct interactions with military service members, delivering exceptional customer service at all touchpoints.
Who is QTC Management Inc.
? QTC is the nation's largest provider of disability and occupational health examination services.
We are PASSIONATE about our country's veterans, UNITED as a team and INSPIRED to make a difference.
To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment.
We celebrate diverse thinking and welcome contributions from all.
What part would you play in this role? As a Medical Case Specialist you will be the first line of communication working closely with US Military Veterans to ensure appointments are scheduled timely.
Utilizing your strong verbal and written communication skills you will play an important role in assisting Veterans with receiving their medical care.
Essential Duties and
Responsibilities:
Answer phones from automated call distribution system Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran's Administration Verify appropriate CPT and CLIN codes are assigned to each case Communicate directly with claimants and providers Determine appropriate examinations, tests and specialists required for each case Schedule appointments for examinees including follow-up appointments and rescheduled appointments Ensure all examinees and providers receive necessary documentation Confirm consultative reports and diagnostic test results are received in a timely manner Meet or exceed contract timeliness guidelines in both the scheduling and case management systems Other projects and duties as assigned Competencies:
Proven ability to plan and organize workload Ability to manage competing priorities in a fast-paced work environment Good follow-through skills Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts Education and/or
Experience:
High School Diploma or GED 0-1 year Experience in healthcare, medical, or insurance-related industries Must have experience with a high volume of inbound and outbound telecommunications Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation Starting pay:
$19.
55/hr.
Pay and benefits are fundamental to any career decision.
That's why we craft compensation packages that reflect the importance of the work we do for our customers.
Employment benefits include competitive compensation, performance-related bonuses, health and wellness programs, student loan repayment and tuition reimbursement, paid leave, and retirement.
More details are available https:
//www.
qtcm.
com/careers/summary-eoc/ Experience Required Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation Less than 1 year(s):
Experience in healthcare, medical, or insurance related industries Experience with electronic medical scheduling and case management software Education Required High School Diploma or better GED or better Licenses & Certifications Preferred Medical Assistant Certified Medical Coder Certified Nursing Asst Skills Required Written Communication Verbal Communication Computer Literacy Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
41 CFR 60-1.
35(c) Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.

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