Care Coordination Assistant

Independent Health AssociationBuffalo, NY
9d$20 - $22

About The Position

The Care Coordination Assistant (CCA) provides administrative support to the Case Management department. The CCA is responsible for assisting the Case Management department in the implementation of case and disease management programs designed to improve the health status of Independent Health members. This includes, but is not limited to, operational aspects including outreach phone calls to members and administrative support as requested.

Requirements

  • High School diploma or GED required; Associates degree preferred.
  • Two (2) years medical office experience required. Case Management and/or care coordination experience preferred.
  • 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).
  • Demonstrated proficiency with PC navigational skills; MEDecision, Power MHS and Siebel experience preferred.
  • Knowledge of medical billing procedures, CPT and ICD-9 coding preferred.
  • Ability to work flexible hours and/or overtime as needed.
  • Proven examples of displaying the IH values: Passionate, Caring, Respectful, Collaborative, Trustworthy and Accountable.

Nice To Haves

  • Associates degree
  • Case Management and/or care coordination experience
  • MEDecision, Power MHS and Siebel experience
  • Knowledge of medical billing procedures, CPT and ICD-9 coding

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.).

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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