Medical Management Support Specialist

Imagine360

1d • Remote

About The Position

Imagine360 is currently seeking a Medical Management Support Specialist to join the team! The Medical Management Support Specialist will assist the Medical Management Supervisor by supporting non-clinical tasks and/or projects as assigned. This is a 100% remote position.

Requirements

• High school diploma or equivalent is required.
• 0-1 + years' experience working in an administrative support role.
• Experience working with Microsoft Office including Word, Excel, and PowerPoint.
• Experience navigating the internet and using database software.
• Ability to maintain a high level of accuracy and attention to detail to perform each essential duty satisfactorily.
• Ability to read and interpret documents such as HIPAA compliance, safety rules, operating and maintenance instructions, and policy and procedure manuals.
• Ability to write routine reports and correspondence.
• Strong verbal and written communication skills.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.
• Ability to apply concepts of basic mathematics and fundamental accounting principles.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems and exercise sound judgment involving several concrete variables in standardized situations.
• Advanced knowledge and skills using Microsoft Office including Word, Excel, and PowerPoint software; Internet software; Database software.

Nice To Haves

• Prior experience working in an administrative support role specifically supporting non-clinical healthcare operations preferred.

Responsibilities

• Assist Medical Management Supervisor, Managers, and Clinicians with non-clinical tasks as instructed by the direct supervisor.
• Assigns cases to the appropriate clinical employee, following approved criteria for case assignment; will also transfer non-clinical data as well as structure clinical data, as directed by clinical and non-clinical supervisor(s).
• Communicates professionally with external providers and vendors to assist with case documentation, requesting clinical documents for clinical staff review.
• Following a script, completes non-clinical outreach calls to clients to gather information related to program enrollment, as instructed by Supervisor.
• Assists with Stop Loss communication by sending Stop Loss letters to the Stop Loss Carriers as instructed.
• Monitor specific department email inboxes and assign cases to clinical employees and direct communications received to the appropriate employee as instructed by Supervisor.
• Pull program satisfaction survey results and distribute to appropriate employees as needed.
• Run and assemble internal and external reports as instructed.
• Maintain inventory of education and resources for the team.
• Mail letters and education material for Medical Management programs to members.
• Process returned mail for Medical Management.
• Prepare & maintain new hire binders as needed.
• Help organize and attend scheduled meetings and trainings for the department or company via teleconference or in person.
• Process participant assessments as assigned.
• Work collaboratively within a team setting to provide positive outcomes for members, clients, peers, and overall operations.
• Performs all tasks in accordance with Medical Management policies and procedures and HIPAA/PHI guidelines and follows the policies and procedures as it relates to escalating issues within the staff hierarchy and between clinical and non-clinical staff.
• Completes all tasks on time and with accuracy.
• Participate in quality program as assigned.
• Perform all tasks in accordance with HIPAA/PHI guidelines.
• Complete HIPAA training annually.
• Perform other duties as assigned.

Benefits

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start
• 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED