CARE MANAGEMENT ASSISTANT

BRMS•Folsom, CA

10d•$20 - $22

About The Position

The Care Management Assistant (CMA) provides administrative and clerical support to Care Management Coordinators to help meet mandated utilization review deadlines. As a first point of contact for members, the CMA answers telephone calls, processes faxes, and enters authorization requests for review in a high-volume desk role. The position requires maintaining confidentiality of member information and following internal policies and procedures. The CMA works within core operating hours and performs assigned tasks independently and in collaboration with Care Management staff, other departments, provider offices, and members. Other duties may be assigned.

Requirements

High school diploma or GED.
Minimum of one to two years of administrative experience in the medical or insurance field, or an equivalent combination of education, training, and experience demonstrating the ability to perform the job duties.
Effective and accurate written and verbal communication skills.
Strong customer-service skills for internal staff and external clients.
Strong organizational skills to manage documented actions, concurrent deadlines, and multiple priorities.
Keyboarding skills and ability to use computer equipment and software, including standard office equipment.
Strong working knowledge of Microsoft Office, Excel, Windows-based products, and software used for document scanning.
Ability to work independently and within a team environment.
Ability to work within core hours of operation.
Ability to understand and carry out written, oral, or diagrammed instructions and address problems involving several concrete variables in standardized situations.
Ability to read, speak, and write effectively in English; interpret documents; write routine reports and correspondence; communicate effectively with customers and coworkers; and address or resolve customer service issues within the position’s guidelines.
Ability to add, subtract, multiply, and divide with 10s and 100s.

Nice To Haves

Knowledge of medical terminology.

Responsibilities

Maintain regular office hours.
Maintain strict HIPAA confidentiality and follow internal policies and procedures to protect member information.
Answer a high volume of telephone calls.
Provide general administrative services and support to the department.
Work independently on assigned tasks and activities in accordance with established policies and procedures.
Receive, log, and distribute mail correspondence.
Manage the department’s email.
Perform basic office tasks, including filing, faxing, copying, and scanning.
Enter requests into the Medical Utilization Review system accurately and completely, with a stated target of 99% accuracy.
Meet exact deadlines, including sending determination letters to appropriate parties within 24 hours of the medical determination.
Remain in contact with Care Management staff, other company staff and departments, provider offices, and members.
Perform other duties and responsibilities as assigned by management.