BRMS · 16 hours ago
CARE MANAGEMENT ASSISTANT
BRMS is seeking a Care Management Assistant (CMA) to support Care Management Coordinators with administrative and clerical duties. The CMA will be responsible for answering calls, processing faxes, and entering authorizations for review in a high-volume environment.
FitnessHealth CareWellness
Responsibilities
Maintain regular office hours
Maintain strict HIPAA Confidentiality; follow all internal policies and procedures to maintain the confidentiality for all members and member data
Answer a high volume of telephone calls
Provide high quality general administrative services and support to the entire department
Work independently on assigned tasks and activities, based on established policies and procedures
Receive, log and distribute mail correspondence
Manage the department’s email accordingly
Handle a variety of basic office tasks such as; filing, faxing, copying, scanning etc
Enter requests into the Medical Utilization Review system with accuracy and completeness (99% of the time)
Adhere to exact deadlines; determination letters must be sent out to the appropriate parties within 24 hours of the medical determination
Remain in contact with Care Management staff, other BRMS staff/departments, provider’s offices and members
Perform other duties and responsibilities as assigned by the Management
Qualification
Required
High School diploma or G.E.D and minimum of one to two years administrative experience within the medical or insurance field; or equivalent and any combination of education, training, and/or experience, which demonstrates ability to perform the duties described
Strong communication skills, effective and accurate written and verbal form
Strong customer service-oriented skills for both internal staff and external clients
Strong organizational skills which support timely and well documented action to manage concurrent deadlines and multiple priorities
Keyboarding skills and the ability to utilize computer equipment and software are required as is experience with other types of standard office equipment
Strong working knowledge of Microsoft Office, excel, windows-based products and software specific to document scanning
Ability to work independently and within a team environment
Must be able to work within core hours of operation Tuesday-Saturday 800 am - 5:00 pm in the office
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Ability to read, speak, and write effectively in English
Ability to interpret documents such as safety rules, memos, letters, and procedure manuals
Ability to write routine reports and correspondence
Ability to speak effectively with customers or fellow employees within the organization
Ability to effectively address or resolve customer service issues within guidelines of the position
Ability to add and subtract, multiply and divide with 10's and 100's
Must be able to sit for extended periods of time; view and input data on PC for extended periods of time
The employee is frequently required to reach with hands and arms and talk or hear
The employee is occasionally required to stand or stoop; walk and use hands to finger, handle, or feel
The employee may frequently lift and/or move up to 10 pounds
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus
Preferred
Medical terminology preferred