Case Manager

3 weeks ago

Lone Tree, United States Prove Partners Full time
Job DescriptionJob Description

PROVE Partners, LLC, founded in 2003 and based in Las Vegas Nevada and Denver, Colorado, is a patient-centric personal injury claims administration and healthcare finance company that provides innovative services and financial products to injury victims, medical providers, and law firms in the United States.

PROVE is primarily engaged in a fast-growing form of specialty reimbursement commonly referred to as medical lien funding that enables victims of third-party liability accidents (e.g., motor vehicle collisions) to access healthcare in their greatest time of need.

PROVE is more than a medical lien funder—we offer patients a full suite of financial products including co-pay and deductible finance and pre-settlement loans, providers with comprehensive revenue cycle solutions including outsourced complex claims administration, and attorneys with patient concierge services and technology solutions to manage caseloads, reduce overhead and most importantly, maximize the outcome for their clients.

PROVE maintains a fortressed balance sheet, supported by a group of institutional capital partners that manage more than $16 billion in assets under management.

PROVE is backed by C9 Partners, LLC, a Los Angeles-based private equity firm focused on making investments in US-based businesses at the intersection of financial services, specialty finance, and healthcare services.

Our Mission: 

We help injury victims at their greatest time of need.

Our Core Values: 

PROVE Partners wants to make an IMPACT on the lives of the patients we help, the clients we work with, and the team we treasure.
• I = Innovate Daily
• M = More…with Less
• P = Pursue Growth and Learning
• A = Accountability
• C = Communication
• T = Teamwork

Job Summary:

Case Managers are responsible for managing the entire lifecycle of funding a personal injury case. They work closely with law firms and medical providers in their territory to intake new patients, underwrite the merits of medical funding requests, schedule medical appointments, request and review medical bills and records, and importantly, manage relationships with our esteemed clients.

Case Managers play a pivotal role in the organization, striving at each touch point to ensure we deliver outstanding customer service to each of our constituents (law firms, medical providers, and personal injury victims).

Job Duties:

  • (Primary) Manage key relationships with law firms as the key point of contact to ensure their clients (i.e., accident victims) receive excellent medical care in a timely manner at a reasonable cost, all the while ensuring the law firm is apprised of the status of their client’s medical care.
  • Manage the new patient intake process, communicating directly with medical providers and law firms to obtain necessary case details to evaluate the merits of a personal injury case. Case Managers are responsible for underwriting personal injury cases within the guidelines of their experience / authorization level. 
  • Schedule medical appointments with medical providers in your territory
  • Provide education for law firms and medical providers on the use of PROVE’s online HIPAA compliant client portal.
  • Maintain HIPAA compliance with all correspondence
  • Deliver optimal customer satisfaction through timely, accurate case processing.
  • Perform other related duties as assigned by the team lead or Operations Manager.

Skills and Qualifications:

  • (Preferred) Experience as a case manager in the medical lien funding space and/or legal field
  • (Preferred) Medical office experience
  • (Preferred) Bachelor’s degree
  • Problem solving skills with a commitment to detail and quality
  • Strong customer satisfaction skills
  • Interpersonal communication skills that drive success
  • Ability to excel in a fast-paced, team environment with a high degree of personal accountability
  • Proficient in Microsoft Windows/Office/Excel/Adobe/Scheduling software/Video Conferencing
  • Ability to work at a computer while on the telephone for up to 8 hours a day
  • Bilingual or multilingual, preferred

Ideal Candidate Profile:

  • Experience in case management
  • Experience in personal injury
  • Experience in medical appointment scheduling
  • Outstanding relationship management and customer service skills

Disclosures:

Prove Partners is an Equal Employment Opportunity and Affirmative Action Employer committed to diversity in the workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

 

 

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