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Company Name | Medwatch LLC |
Rating | 3.3 |
Job Type | Full-time |
Job Position | Remote Position |
Handle all incoming MedWatch calls (i.e., start cases, do call logs, forward calls, provide case status, provide claims phone #’s, etc.).
Scope: The Intake Coordinator, via incoming calls, emails, faxes or website, assists with the computer intake of all demographics information on the patient/member and determine whether services requested require precertification based on the employer’s / Third Party Administrator’s contract with MedWatch based on NCQA, URAC and state standards. Duties and Responsibilities: • Handle all incoming MedWatch calls (i.e., start cases, do call logs, forward calls, provide case status, provide claims phone #’s, etc.) • Make outgoing calls for MedWatch (demos, information for case completion, re-direction for network steerage, etc.) • Make outgoing calls for Bill to Dates and Discharge dates for the nurses. • Complete incoming electronic Web-certs. • Send out CM Reports/Invoices • Send out Path letters for MW cases. • Handle incoming Path letter responses. • Attach and distribute faxes – 250 to 400 per day (sometimes entails opening cases from faxes) • Check to see if there are any miscellaneous requests from nurses in emails (regarding cases to be opened, changes made to info in cases, etc.) • Check CM Inbox to see if there are any emails that need to be addressed (i.e., new CM case opened, answering questions regarding UR procedures, etc.) • Verify patient and provider demos – correct and/or complete when needed. • Handle fax failures, researching fax #’s and re-faxing manually when necessary. • Create cheat sheets, documents, spreadsheets, correspondence, etc… • Handle mailing for UR, CM and DM • Monitor the Admin/TSHBP/Paths pages in MW-CMS system and handle the cases on there accordingly (path entries, re-sending paths to correct fax # when contact card is set to mail, determining if records attached require further review by a nurse or Concierge, determining if a case needs opened, etc.) Knowledge, Skills & Abilities: • Bilingual (Spanish) a plus. • Pass a background check and provide references. • Excellent data entry and typing skills. • Basic Computer skills/proficient in relevant computer applications • Medical Terminology • Ability to handle multiple complex tasks simultaneously with attention to detail and accuracy. • Knowledge of customer service principles and practices • Verbal, written and listening communication skills. • Stress tolerance and teamwork Education: High School diploma or GED required. Associates degree preferred, but not required. Experience: • Medical Intake experience a plus • Some experience in a call center or customer service environment This pay rate for this position is $15.00 to $16.50 hourly. Work Environment / Physical Demands: This position is in a typical office/home office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. E.O. Applicants must be authorized to work for any employer in the United States. We are unable to sponsor applicants for employment. We are an Equal Opportunity Employer, including disability/veterans.
Are you ready to take your career to the next level? At MedWatch, we are a community of passionate, driven individuals who thrive on innovation and collaboration. For over 35 years, MedWatch has partnered with clients to develop innovative and effective solutions to address their needs. By mitigating risk within the plan population and focusing on quality care and improved outcomes, MedWatch reduces healthcare expenditures for the plan and plan member. We offer competitive compensation and a comprehensive benefits package including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs.
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