MicroSourcing
MicroSourcing

Medical Case Manager | 8098  

MicroSourcing

 
  • Quezon City, Philippines
    1880 Avenue Building, Quezon City, National Capital Region, Philippines
    Quezon City
    National Capital Region
    Philippines
    Philippines
  • Full timeFULL_TIME

Expired 5 years ago

2019-09-15T16:00:00+00:00
Job closed.

Job Description

The Intake Case Manager serves as a liaison between patients, their families, and healthcare providers with the goal of qualifying each patient (our customer) for insurance coverage for DME ordered by their physician (our referral source). This position is responsible for data entry, verifying insurance benefits and eligibility, providing customer support, and obtaining the necessary documentation from physician offices to support insurance medical necessity requirements.

Job Functions:

  • Answer inbound calls, talk with patients, their doctors, and their Health Insurance companies by phone, fax, and email
  • Receive, process, track, and prioritize prescription orders for home medical equipment with speed and accuracy
  • Contact physician’s office and other facility offices to request prescriptions, progress notes, and other medical information necessary to process orders
  • Data entry of patient demographics
  • Verification of insurance benefits and eligibility
  • Communicate effectively with patients and healthcare professionals
  • Provide on-going customer support

Minimum Qualifications

  • Bachelor's degree in health-related field and/or Nursing Degree preferred, but experience accepted commensurate with job requirements.
  • Prefer 3-5 years in healthcare related setting(s).
  • Knowledge of medical terminology, anatomy and physiology.
  • Experience reviewing patient medical records.
  • Outstanding organizational and communication skills both verbal and written.
  • Microsoft Office365 (Outlook, Excel, Word, OneNote)
  • Microsoft Sharepoint (a plus)
  • Adobe Acrobat PDF (or equivalent pdf software)

Nice-to-haves:

  • Process Street (a plus)
  • Brightree Web Software (preferred but not required)
  • Knowledge of Medicare/Medi-Cal/Commercial Health Insurance.
  • Experience with Health Insurance eligibility verification.
  • Experience with Durable Medical Equipment (DME) is a plus.
  • Experience in Case management is a plus.
  • Experience with ICD-10 coding is a plus.
  • Experience with HCPCS Medical Coding is a plus.
  • Experience with Medicare/Medi-Cal guidelines as they pertain to Power & Manual Wheelchairs, Hospital Beds, and other durable/home medical equipment (DME/HME) is a huge plus.

What’s in it for you?

  • Above par industry compensation and benefits package
  • Training Opportunities
  • Opportunities for Career and Professional Advancement
  • Social responsibility events
  • Employee engagement program

Jobs Summary

Job Level
Mid-Senior Level / Manager
Job Category
Health and Medical
Educational Requirement
Bachelor's degree graduate
Recruiter response to application
Once in a while
Office Address
1880 Avenue Building
Industry
Outsourcing / Offshoring
Vacancy
1 opening
Website
https://www.microsourcing.com/

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About MicroSourcing

MicroSourcing is one of the leading offshoring and outsourcing solutions provider in the Philippines. Voted Best Non-voice Company of the Year in 2014, we are not your average BPO. We cater to foreign companies who operate in a wide variety of industries from all over the world. Therefore, you have the opportunity to do what you love and grow your career Our offices are located in Eastwood City, Mall of Asia Complex, Bonifacio Global City, Ortigas Center and Cebu IT Park, all easily accessible no matter where you live. Join our growing family and be part of an international and collaborative working environment. WHY JOIN US? MicroSourcing offers diversity in career options. We welcome individuality in self-expression without losing the value for team involvement. We are a fresh look at the BPO & KPO industry. Come experience the MicroSourcing life and be part of our growing family. We are a fast growing company but we have always been able to keep the fun, young and intimate atmosphere from the time we started. We strongly believe in transparency and honesty and we always make sure to represent the interests of our employees as much as we represent the interests of our clients.

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