Logo for Saviance Technologies Pvt. Ltd.

Healthcare - Case Management Processor

Saviance Technologies Pvt. Ltd.

Role overview

Qualifications

  • 2+ years of customer service experience
  • Proficient in Microsoft Office applications
  • Comfortable being on phones
  • High School Diploma or G.E.D.

Responsibilities

  • Provides support to the Case Management staff performing non-clinical activities
  • Responsible for initial review and triage of Case Management tasks
  • Screens members using Molina policies and processes
  • Maintains accurate and complete documentation of required information

Key facts

Hard skills

Telephony Data Entry Internal Documentation

Other skills

  • Customer Service
  • Microsoft Office
  • Analytical Thinking
  • Communication
  • Problem Solving
  • Teamwork
  • Detail Oriented
  • Client Confidentiality
  • Social Skills

About the company

Saviance Technologies Pvt. Ltd. logo

Saviance Technologies Pvt. Ltd.

IT Services & IT Consulting

Saviance Technologies is a US Healthcare IT Service provider focusing on Patient Engagement with Innovative Products and Solutions like Patient Intake Tablet, iHealthConnect Wellness Portal, Mobile Applications, Actionable Analytics and ICD-10 Testing Services. Incorporated in 1999 in New Jersey, with over 15 years of excellent industry track record, Saviance offers services & solutions that enable enterprises to achieve critical objectives. Saviance is a Gold Category Corporate Member with Healthcare Information Management Systems Society (HIMSS), member of mHealth Alliance and Corporate member of NJ-HITEC. We are awarded by INC. 5000 as one of the fastest growing privately held companies in North America. Saviance is also ranked among the Fast 50 Asian American Businesses in the United States by USPAACC (US Pan Asian American Chamber of Commerce) and selected as a 2014 "Top Business"​ recipient byDiversityBusiness.com. A certified Minority Business Enterprise recognized by NMSDC, Saviance is also partner with leading global brands such as Microsoft, Amazon Web Services, Apple, Samsung and Red Hat.

Company details

Company typeSME
IndustryIT Services & IT Consulting
Company size51 - 200

Links

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Job description

Job Description:

• Will the position be 100% remote? Yes
• Are there any specific location requirements? WASHINGTON (outside greater-Seattle)
• Are there are time zone requirements? PST
• What are the must have requirements? 2+ years of customer services experience, proficient in Microsoft office applications, comfortable being on phones.
• What are the day to day responsibilities? Outbound calls, emails, and processing of unable to contact requests.
• Is there specific licensure is required in order to qualify for the role? N/A
• What is the desired work hours (i.e. 8am – 5pm)- 8am – 5pm
• What additional equipment besides a laptop, keyboard, mouse and headset will be required for this candidate to be successful in this role? 2 monitors

Duties and Responsibilities (List all essential duties and responsibilities in order of importance)

· 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 principle member needs and works under the direction of the Case Manager to implement care plan.
· Screens members using Molina 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 ( List all knowledge, skills and abilities that are necessary to perform the job
satisfactorily)
· Strong customer service skills to coordinate service delivery including attention to members/customers, sensitivity to concerns, proactive identification and resolution of issues to promote positive outcomes 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 regard for confidential information · Ability to work in a fast paced environment · Able to work independently and as part of a team.
· PC experience in Windows environment and accurate data entry at 40 WPM minimum.
· Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) · Ability to establish and maintain positive 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 healthcare service administrative support role.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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