Case Management Assistant I

Modivcare

13d

About The Position

This position is responsible for ensuring complete and accurate client account records, providing support to case managers (CMs), representatives from agencies, clients, and internal team partners. This role collaborates with various stakeholders, including case managers (CM) and agencies, to facilitate the enrollment of new members and update member accounts, addressing requests from CMs, agencies, and other authorizers. It responds to incoming phone calls from CMs, agency representatives, and other authorizers, ensuring effective communication channels. The role maintains ongoing communication with agencies, CMs, and authorizers to verify and obtain updated and accurate information, as necessary. It manages assigned tickets related to referrals, authorizations, disconnects, holds, transfers, service jobs, and other tasks. The position processes tasks in work queues to facilitate the accurate transfer or disconnection of client services for billing purposes. It ensures the timely and accurate updating of authorizations for precise billing, contacting CMs and agencies for new or corrected authorizations when needed. The role promptly enters referrals for new members on the same day of receipt. It sends notifications (via mail, email, or fax) to case managers regarding potential disconnects and completed disconnects of client services. All communications with case managers and agency representatives are documented in the document management system. Issues identified and other reports related to records are addressed. Communication with other team members and teams is fostered through email, phone calls, and internal system notes and messages. The role adheres to data protection requirements, utilizing client data solely for managing the client's account with VRI and associated claims. Compliance with organization and Case Manager Support team policies, procedures, job aids, reference materials, memos, notes, videos, and other provided training is expected. Individual, team, and department goals for both productivity and quality are achieved. Participation in other projects or duties as assigned is also part of the role.

Requirements

High School Diploma required.
Zero (0) plus years of experience.
Equivalent combination of education and/or experience.
Basic computer skills with a comfort in utilizing electronic files and saving documents.
Demonstrated ability to effectively manage time and complete tasks within specified periods.
Strong team-oriented mindset coupled with a positive and cooperative attitude.
Capable of handling multiple tasks simultaneously, displaying adept multitasking abilities.
Customer service skills at an entry level, demonstrating a commitment to providing excellent service.
Attention to detail in task execution and communication.

Nice To Haves

Basic familiarity with Microsoft Outlook and Teams is preferred.

Responsibilities

Collaborate with various stakeholders, including case managers (CM) and agencies, to facilitate the enrollment of new members and update member accounts, addressing requests from CMs, agencies, and other authorizers.
Respond to incoming phone calls from CMs, agency representatives, and other authorizers, ensuring effective communication channels.
Maintain ongoing communication with agencies, CMs, and authorizers to verify and obtain updated and accurate information, as necessary.
Manage assigned tickets related to referrals, authorizations, disconnects, holds, transfers, service jobs, and other tasks.
Process tasks in work queues to facilitate the accurate transfer or disconnection of client services for billing purposes.
Ensure the timely and accurate updating of authorizations for precise billing, contacting CMs and agencies for new or corrected authorizations when needed.
Promptly enter referrals for new members on the same day of receipt.
Send notifications (via mail, email, or fax) to case managers regarding potential disconnects and completed disconnects of client services.
Document all communications with case managers and agency representatives in the document management system.
Address issues identified and other reports related to records.
Foster communication with other team members and teams through email, phone calls, and internal system notes and messages.
Adhere to data protection requirements, utilizing client data solely for managing the client's account with VRI and associated claims.
Comply with organization and Case Manager Support team policies, procedures, job aids, reference materials, memos, notes, videos, and other provided training.
Achieve individual, team, and department goals for both productivity and quality.
Participate in other projects or duties as assigned.

Benefits

Medical, Dental, and Vision insurance
Employer Paid Basic Life Insurance and AD&D
Voluntary Life Insurance (Employee/Spouse/Child)
Health Care and Dependent Care Flexible Spending Accounts
Pre-Tax and Post --Tax Commuter and Parking Benefits
401(k) Retirement Savings Plan with Company Match
Paid Time Off
Paid Parental Leave
Short-Term and Long-Term Disability
Tuition Reimbursement
Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)