Medical Case Specialist I-MCO
Job Description:
This position is NOT remote and is located on-site in San Antonio, TX. n Do you want a job that makes a difference in other's lives? Do you enjoy helping people? How about helping our Nation's Heroes? This is the job for youn We're looking for customer friendly folks that are familiar with scheduling appointments and have working computer knowledge. n At QTC, the nation's largest provider of disability and occupational health examination services, we are PASSIONATE about our country's veterans, UNITED as a team and INSPIRED to make a difference.n We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent:nnCompetitive compensation and quarterly bonusesnTuition reimbursement nA 50% company match of your pre- and post-tax contributions up to 6% of your salary, including immediate vesting of company contributionsnGenerous paid time off (minimum of 14 days/year), as well as 10 paid holidays nAccess to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accountsnAn inclusive and ethical work placenn Pay Range:n $16.20/hr n Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. Employment benefits include competitive compensation, performance-related bonuses, health and wellness programs, student loan repayment and tuition reimbursement, paid leave and retirement. More details are available here. n The QTC pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. n The QTC Management pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.n Job
Summary:n Under limited supervision, performs a variety of activities in support of a specific project/business/technical unit. Gathers, collects, records, tracks and verifies data and information from multiple sources. Uses software for functional area to schedule appointments and document in the case management systems. Compiles and generate reports, statistics, timelines, tables, graphs, correspondence and presentations. Provides data and information to others on functional unit processes and procedures. Delivers exceptional customer service at all customer touch points.n Essential Duties and
Responsibilities: nnAnswer phones from automated call distribution systemnTriage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran's AdministrationnVerify appropriate CPT and CLIN codes are assigned to each casenCommunicate directly with claimants and providersnObtain medical history for specific conditionsnDetermine appropriate examinations, tests and specialists required for each casenSchedule appointments for examinees including follow-up appointments and rescheduled appointmentsnEnsure all examinees and providers receive necessary documentationnConfirm consultative reports and diagnostic test results are received in a timely mannernMeet or exceed contract timeliness guidelines in both the scheduling and case management systemsnOther projects and duties as assignednn Competencies:nnProven ability to plan and organize work loadnAbility to manage competing priorities in a fast paced work environmentnGood follow through skillsnMust possess the ability and flexibility to work early morning, evening, and/or weekend shiftsnKnowledge of medical terminology strongly preferred nAbility to schedule appointments preferred nn Education and/or
Experience:nnMust be able to successfully pass National Agency Check with Inquiries (NACI) background investigationsnAbility to schedule appointments desirable nKnowledge of Medical terminology desirable nHigh School diploma/GED required nBasic working computer knowledge required nn This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.n QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.ExperienceRequiredLess than 1 year(s): Experience in healthcare, medical, or insurance related industriesPreferredDirect healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanationExperience with electronic medical scheduling and case management software EducationRequiredHigh School Diploma or betterGED or betterLicenses & CertificationsRequiredMedical AssistantPreferredCertified Medical CoderCertified Nursing AsstSkillsRequiredWritten CommunicationVerbal CommunicationComputer LiteracyPreferredProblem SolvingMedical DocumentationCustomer ServiceMulti-line phoneMS OfficeMedical Scheduling SoftwareMedical TerminologyMedical Data EntryElectronic Medical RecordsBehaviorsPreferredEnthusiastic: Shows intense and eager enjoyment and interestDetail Oriented: Capable of carrying out a given task with all details necessary to get the task done wellTeam Player: Works well as a member of a groupInnovative: Consistently introduces new ideas and demonstrates original thinkingMotivationsPreferredWork-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of workGoal Completion: Inspired to perform well by the completion of tasksJob Security: Inspired to perform well by the knowledge that your job is safeGrowth Opportunities: Inspired to perform well by the chance to take on more responsibility Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)Estimated Salary: $20 to $28 per hour based on qualifications.
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