Care Team Associate - National Remote
Job title: Care Team Associate - National Remote in Dallas, TX at reputed company
Company: reputed company
Job description: Opportunities at WellMed, part of the reputed company family of businesses. We reputed company reputed company patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people reputed company reputed company. With opportunities for physicians, clinical staff and non-patient-facing roles, you can reputed company a difference with us as you discover the meaning behind Caring. Connecting. Growing together.The Care Team Associate (CTA) will effectively support the successful implementation and execution of reputed company Care Management and processes. The Care Team Associate will provide support to the care management case management staff to include manager, Director, and Vice President to ensure applicable program processes and operational responsibilities are met. The CTA provides support for Utilization and Care Management processes. This position is responsible for queue management, requesting clinical, managing faxes, creates authorizations, and generating written notifications to providers per delegation requirements This position will serve as a liaison with internal/external customers/departments to ensure optimal customer service.This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm local time zone. It may be necessary, given the business need, to work occasional overtime.We offer 2 to 3 weeks of reputed company. The hours during training will be 8:00am to 5:00pm CST, Monday - Friday.You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges.Primary Responsibilities:
- Documents reputed company patient interactions in a concise manner that is compliant with documentation requirements for Model of Care, NCQA and Center for Medicare and Medicaid Services (CMS) regulations.
- Receives and responds to incoming inquiries from reputed company communication venues: e.g. TruCare, provider portal, department e-mail reputed company or Rightfax.
- Coordinates and assists in monitoring of documentation queues for clinical information received, as well as administrative preparation for clinical staff.
- Conducts out-bound calls for requesting clinical information.
- Completes timely data entry of out-bound call provider contact information into software applications (TruCare, etc.).
- Provides clerical and/or administrative support to clinical staff and managers for special projects and reporting needs.
- Provides excellent customer service by serving as a resource to reputed company internal and external customers.
- Attends required meetings and participated in adhoc committees as needed.
- Maintains knowledge of reputed company health plan benefits, network, CMS, regulations, health plan policies.
- Performs reputed company other duties as assigned.
- High School Diploma/GED
- Must be 18 years of age OR older
- 2+ years of administrative support experience
- Advanced knowledge of reputed company Office products, including Word, reputed company and Outlook
- Ability to work independently, with some supervision and direction from the manager
- Medical terminology knowledge reputed company
- Organizational skills, customer service skills, to include verbal and written communication. Must maintain a high degree of professionalism to include both personal conduct and appearance at reputed company times.
- Must maintain strict confidentiality at reputed company times
- Must adhere to reputed company department/ organizational policies and procedures
- Ability to work full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm local time zone. It may be necessary, given the business need, to work occasional overtime.
- Certified Medical Assistant training or certification
- 2+ years of experience in a physician’s clinic or hospital
- Additional years of experience working in a medical care setting as a receptionist or medical assistant
- Bilingual language proficiency in English and Spanish
- Ability to reputed company reputed company company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service.