Integrated Case Management Specialist, Full-Time

3 weeks ago


Hackensack, Minnesota, United States Hackensack Meridian Health Full time
About the Role

At Hackensack Meridian Health, we are seeking a highly skilled Integrated Case Management Specialist to join our team. This role will be responsible for performing selected services and functions related to insurance management with various payors, ortho calls, payer communications, and support of the Care Coordinators.

Key Responsibilities
  • Prepares required Appeals and Denial information for processing and follows up on receipt of communication, including Livanta appeal management process.
  • Oversees the sorting and distribution of mail in the department.
  • Answers case management and social work phones.
  • Medicaid appointment, all discharge functions for the Care Coordinators, including seventy hour discharge report and providing patients with the IM Letter from Medicare prior to discharge.
Requirements
  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • Experience in the healthcare industry.
  • Effective written, oral, and interpersonal communications skills.
  • Proficient computer, word-processing, and Excel spreadsheet skills.
  • Ability to learn new computer systems, including EPIC and INDICIA.
Preferred Qualifications
  • 1 year recent experience in a hospital or medical setting.
  • BSW/CSW preferred.
Working Conditions

Spends an average of 2.5 hours on the phone daily; average of 200 data inputs a day.



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