Medical Case Manager

23 hours ago


Miami, Florida, United States Medical Audit Professionals Full time
Job Title: Medical Case Manager

We are seeking a highly motivated and detail-oriented Medical Case Manager to join our team at Medical Audit Professionals. As a Medical Case Manager, you will be responsible for handling medical benefits verification and medical pre-authorization services, inpatient care review, and itemized bill review.

Responsibilities:
  • Answer inbound calls and respond to customer inquiries.
  • Monitor and respond to emails, with an average of 70 emails per day.
  • Handle provider inquiries for benefit verification.
  • Manage and resolve customer complaints.
  • Provide customers with pre-authorization for medical services.
  • Review medical records and assess for pre-existing conditions and relevant exclusions on the policy.
  • Document all activities and call information according to standard operating procedures.
Requirements:
  • Foreign Medical Graduate with no USMLE STEP 1, STEP 2, or CSA certification.
  • Excellent verbal and written communication skills in English and Spanish, with proficiency in MS Access, Word, and Excel.
  • Strong listening and problem-solving skills, with a customer service-oriented approach.
  • Ability to work in a team environment and adapt to changing priorities.
Work Environment:

Our office is located in the Miami Shores area, and the ideal candidate will be able to work in a fast-paced environment with a high level of accuracy and attention to detail.

Compensation:

The successful candidate will be offered a competitive hourly rate of $16.00-$24.00 per hour, with opportunities for advancement and professional growth.



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