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Independent Health · 1 month ago

Care Coordination Assistant

Buffalo, NY (14221)

Full-time

Hybrid

Entry Level

$20/hr - $21.50/hr

2+ years exp

Independent Health is seeking a Care Coordination Assistant to provide administrative support to the Case Management department. The role involves assisting in the implementation of case and disease management programs to improve the health status of members, including outreach phone calls and various administrative tasks.

Health CareInsuranceNon Profit

No H1B

Responsibilities

Ensure data accuracy in the generation of member case/disease management clinical files within the clinical system (MEDecision); appropriately links all scanned/imaging support files; and routes cases to the appropriate clinician queue in accordance with department policies/procedures

Ensure data accuracy and the timely recording of encounter data into program databases such as MEDecision form tools/Excel files

Monitor, retrieve, update and route member data in the core administrative systems (Macess, Health Rules, Siebel, Advantmed); facilitates inter-departmental communications with timely and accurate information

Complete first-tier member outreach activities under the direction of the clinical manager/clinician team; complete health-risk screening, accurately follow scripts/protocols and appropriately identify members requiring higher-level interventions in accordance with department guidelines/policies

Coordinate services in accordance with department procedures and/or the clinician’s care plan. Provides timely updates

Ensure compliance with all regulatory and departmental requirements. Accountability for attainment of productivity and quality metrics

Administrative support as needed (i.e. correspondence, filing, data entry, etc.)

Qualification

Medical office experienceMedical terminologyData entry proficiencyMS Office skillsMedical billing knowledgeCustomer service skillsPC navigational skillsCPTICD-9 codingCommunication skillsOrganization skills

Required

High School diploma or GED required

Two (2) years medical office experience required

Working knowledge of medical terminology required

Solid verbal, written and interpersonal communication skills required

Demonstrated customer service skills required

Demonstrated proficiency in data entry

Strong MS Office skills required (Word, Excel)

Excellent organization skills, with attention to detail and follow through

Ability to meet and/or exceed all established performance standards on a consistent basis (i.e., regulatory timeframes, accuracy, and quality)

Ability to work flexible hours and/or overtime as needed

Proven examples of displaying the IH values: Passionate, Caring, Respectful, Collaborative, Trustworthy and Accountable

Preferred

Associates degree preferred

Case Management and/or care coordination experience preferred

Demonstrated proficiency with PC navigational skills; MEDecision, Power MHS and Siebel experience preferred

Knowledge of medical billing procedures, CPT and ICD-9 coding preferred

Benefits

Full range of benefits

Generous paid time off

Company

Independent Health

As one of Western New York's first HMOs, Independent Health covers approximately 355,000 people here and across the country with more than 100 plans, services and products.

Founded in 1980

Williamsville, Virginia, USA

1001-5000 employees