Modivcare · 5 hours ago

Remote Case Manager Service Representative

United States

Full-time

Remote

Entry Level

$17/hr - $19/hr

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Responsibilities

Work with case managers (CM) and agencies to enroll new members, update member accounts, and other requests initiated by the CM, agency, other authorizers, and additional sources as identified

Answer incoming phone calls from a CM, agency representatives, or any other authorizer

Communicate with agencies, CMs, and authorizers to ensure VRI is receiving updated and accurate information when needed

Work assigned H2H tickets that may include referrals, authorizations, disconnects, holds, transfers, service jobs, and other tasks

Process tasks in Rivet work queues to ensure client services are transferred or disconnected as appropriate for accurate billing

Update authorizations to ensure accurate billing

Contact CMs and agencies to obtain new or corrected authorizations

Enter referrals for new members accurately the same day they are received

Mail, email, and fax notifications to case managers for potential disconnect and completed disconnect of client services

Save all notifications to and from case managers and agency representatives in the document management system, Intact

Act on Domo and other reports identifying issues in records

Communicate with other VRI employees and teams by email, phone, and internal system notes and messages

Perform outbound calls to new clients to welcome them to VRI, collect required information and advance their progress to activation

Manage outbound and inbound phone calls to clients, care givers and case management support staff to explain services and establish client relationships

Record details of calls and messages in software applications

Accurately enter client data for new members

Interact with external and internal parties in a professional, helpful and courteous manner.

Answer routine inquiries and refer calls not requiring dispatches to appropriate departments and agencies.

Meet individual, team and department goals for productivity and quality

Comply with requirements to protect client data, use client data only for the purpose of managing the client’s account with VRI and associated claims

Comply with VRI and Case Manager Support team policies, procedures, job aids, reference materials, memos, notes, videos, and other training that is provided

Other duties as assigned

Qualification

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