[Hiring] Medical Management Support Specialist @Imagine360

Role Description

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.

Position Location: 100% remote

Duties/Responsibilities:

• Assist Medical Management Supervisor, Managers, and Clinicians with non-clinical tasks as instructed by the direct supervisor.
• Assign cases to the appropriate clinical employee, following approved criteria for case assignment.
• Transfer non-clinical data as well as structure clinical data, as directed by clinical and non-clinical supervisor(s).
• Communicate professionally with external providers and vendors to assist with case documentation, requesting clinical documents for clinical staff review.
• Complete non-clinical outreach calls to clients to gather information related to program enrollment, as instructed by Supervisor.
• Assist 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.
• Perform all tasks in accordance with Medical Management policies and procedures and HIPAA/PHI guidelines.
• Complete all tasks on time and with accuracy.
• Participate in quality program as assigned.
• Perform other duties as assigned.

Qualifications

• 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.

Requirements

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

Skills and Abilities

• 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.

Physical Requirements

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job indoors.
• The noise level in the work environment is usually very quiet.
• This position involves no physical exertion beyond the normal office environment and the employee must occasionally lift and/or move up to 10 pounds.
• Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus.
• Requires a high degree of visual concentration for reviewing and compiling large quantities of computer-based data from several sources.
• The employee regularly uses hearing for gathering information.
• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
• The employee is frequently required to reach with hands and arms.
• The employee is occasionally required to stand and walk.

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.