Case Manager
13 hours ago
Case Manager with Strong Coordination Skills - NEEDED ASAP
Excellent Opportunity at a Growing Company
Bring your coordination, insurance or benefits investigation, attention to detail, and/or insurance skills to an innovative, team-oriented, healthcare hub services company Join our friendly and supportive team and make a positive difference Seeking people with excellent experience in/with pharmacy, health insurance, hubs, medical billing, and/or medical doctor’s offices as we continue to grow
Qualifications:
- 1-3 years' experience in the medical/healthcare or insurance field (i.e. pharmacy, doctor's office, hospital admin., hub services, health plan member services, etc.), required.
- Communication skills demonstrated through impeccable email correspondence.
- Client-facing experience (emails, spreadsheets, etc..), a plus
- Familiarity with medical billing, insurance verifications, reimbursement issues, a plus.
- Experience interacting with MDOs, insurance companies and/or pharmacies, preferred.
- Oncology, urology, orthopedic, pain management, or physical therapy related experience, a plus.
- Ability to maintain strict HIPAA patient confidentiality and protecting PHI.
- Strong computer skills including MS Excel. Adaptable and eager to learn. Open to cross-training to build on experience.
Direct hire, full-time, onsite opportunity at our corporate headquarters in Maitland, FL.
We care about the safety and well-being of our team. We are mindful of safety precautions, following local government and CDC guidelines. Our office has plenty of space and sizable cubicles with room to grow
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
CASE MANAGER
Essential Functions:
- Assist the MDO by following up on authorizations and checking the status of pending authorizations.
- Connects via phone with the MDO regarding clinicals, authorizations, transfers and/or follow-ups.
- Handles benefits request investigations submitted by MDOs (medical doctors’ offices).
- Contacts insurance companies directly to obtain information on a patient’s medical benefits, specialty pharmacy benefits and/or prescription benefits, where applicable.
- Contacts and follows up with MDOs, pharmacies and other facilities to assist with coordination of care for medication or treatment, as needed.
- Serves as a primary contact for inbound calls, answers inquiries regarding submitted cases, follow-ups and other case related issues, assisting the MDOs.
- Communicates with field access managers and key account managers on a regular basis for updates, support and to help ensure program needs are being met, where applicable. Communicates with and assists sales representatives, as needed.
- Documents and makes notations in the system regarding the case information.
Hours:
Monday-Friday, commonly needed shifts are 9:30 AM-6:00 PM, 10:30 AM-7:00 PM, or 11:30 AM - 8:00 PM. Other shifts may be available between 8:00 AM and 8:00 PM, for full-time hours, based on team needs.
Compensation:
Offer based upon experience, education, interview process, etc. Position is benefits eligible.
Please apply with us today to learn more about an excellent opportunity
Job Type: Full-time
Company DescriptionOur innovative online solutions assist various members and groups within the healthcare industry. COPILOT is a growing, third party hub services company, a liaison between medical providers and health insurance companies. Our corporate headquarters is in Maitland, FL, and we also have teams in NY, AZ and multiple states. We provide exceptional customer service and assistance to clients, patients and doctors’ offices across the nation, and ultimately provide valuable services that help facilitate a patient’s treatment. Our team makes a positive difference every dayCompany DescriptionOur innovative online solutions assist various members and groups within the healthcare industry. COPILOT is a growing, third party hub services company, a liaison between medical providers and health insurance companies. Our corporate headquarters is in Maitland, FL, and we also have teams in NY, AZ and multiple states. We provide exceptional customer service and assistance to clients, patients and doctors’ offices across the nation, and ultimately provide valuable services that help facilitate a patient’s treatment. Our team makes a positive difference every day-
Case Manager
3 months ago
Maitland, United States COPILOT Provider Support Services, Inc Full timeCase Manager with Strong Coordination and Scheduling Skills - NEEDED ASAPExcellent Opportunity at a Growing Company!Bring your coordination, insurance or benefits investigation, attention to detail, and/or insurance skills to an innovative, team-oriented, healthcare hub services company! Join our friendly and supportive team and make a positive difference!...
-
Adoption Case Manager
1 week ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full time**Job Overview**We are seeking a skilled Adoption Case Manager to join our team at Community Based Care of Brevard, Inc. As an integral part of our organization, you will be responsible for providing specialized adoption support services to case management agencies, working towards the goal of adoption.**Salary:** $53,000 per year, based on experience and...
-
Dependency Case Manager
1 week ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full timeResponsibilities and QualificationsAs a Permanency Specialist, you will be responsible for identifying barriers to permanency, monitoring and ensuring FSFN documentation is completed prior to staffing, and providing linkage between case managers and community partners. You must have a Bachelor's degree in social work or a related field and 3 years of...
-
Registered Nurse RN Case Manager
2 days ago
Maitland, United States AdventHealth Full timeAll the benefits and perks you need for you and your family: Up to $10,000 Sign on Bonus Benefits from Day One Paid Days Off from Day One Career Development Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift...
-
Case Management Liaison
3 weeks ago
Maitland, Florida, United States Tetra Tech Full timeAbout the PositionTetra Tech is seeking a skilled Customer Service Representative to join our team in Maitland, Florida. This is a project-based, remote role that requires strong communication skills, a positive attitude, and a passion for delivering exceptional customer experiences.The successful candidate will have experience handling customer inquiries,...
-
Home Health Nurse Case Manager
3 weeks ago
Maitland, Florida, United States AdventHealth Full timeKey ResponsibilitiesConduct thorough patient assessments to identify physical, functional, psychosocial, social, spiritual, educational, developmental, cultural, and cognitive needs.Develop and implement individualized care plans that address patient goals and promote independence.Educate patients, families, and caregivers on safe caregiving practices and...
-
Care Managers
13 hours ago
Maitland, United States Compass Senior Solutions Care Manag Full timeJob DescriptionJob DescriptionThe care manager will ensure all healthcare providers involved are up to date with case information and collaborate with patients' families, friends, and caretakers to effectively share information. The care manager will continually develop a network of quality providers and keep accurate patient records. You will link...
-
Insurance Liaison and Coordination Manager
1 week ago
Maitland, Florida, United States COPILOT Full timeJob DescriptionAt COPILOT, we are committed to providing innovative online solutions that assist various members and groups within the healthcare industry. As an Insurance Liaison and Coordination Manager, you will be responsible for serving as a liaison between medical providers and health insurance companies, ensuring seamless coordination of care.Your key...
-
Clinical Patient Advocate
3 weeks ago
Maitland, Florida, United States Synergy Healthcare Full timeTransform Lives as a RN Case ManagerAs a RN Case Manager, you'll shape best practice initiatives enhancing health outcomes, streamlining access to care, and lowering costs. Your role includes:Providing clinical leadership for Managed Care, Bundle Payment, and ACO programsActing as an educator and advocate for patients and staffCollaborating across...
-
Child Welfare Professional
1 week ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full timeAbout the PositionWe are looking for a highly skilled Child Welfare Professional to join our team. As a Family Services Specialist, you will work closely with case management agencies to provide specialized adoption support services.Your responsibilities will include completing case-related activities, assessing children and families, supporting adoptive...
-
Care Coordinator
1 week ago
Maitland, United States CarepathRx Full timeCarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.Job Details:The Care Coordinator is responsible for the managing the case coordination for patients assigned to them. This includes ensuring an excellent level of...
-
Care Coordinator
1 week ago
Maitland, United States CarepathRx Full timeCarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: The Care Coordinator is responsible for the managing the case coordination for patients assigned to them. This includes ensuring an excellent level of...
-
Adoption Support Coordinator
1 week ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full timeRole DescriptionThe Adoption Support Coordinator will provide specialized adoption support services to case management agencies. This includes preparing documentation for court hearings, attending or testifying as needed, and assessing family matches.You will also complete child studies, adoption home studies, and assist with placing children in adoptive...
-
Family Services Specialist
1 week ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full timeJob OverviewThe Community Based Care of Brevard, Inc. is seeking a qualified Family Services Specialist to join our team. As a key member of our child welfare services team, you will provide specialized support to families and children in need.Estimated salary for this role is $53,000/year. About the RoleThe Family Services Specialist will be responsible for...
-
Family Placement Coordinator
1 week ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full time**Job Description**We are seeking a skilled Family Placement Coordinator to join our team at Community Based Care of Brevard, Inc. As an integral part of our organization, you will be responsible for providing specialized adoption support services to case management agencies, working towards the goal of adoption.**Salary:** $53,000 per year, based on...
-
Child Welfare Specialist
1 week ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full timeJob SummaryThis is a critical role in ensuring the timely and long-term permanency of youth in care. The Permanency Specialist will work closely with dependency case managers to provide comprehensive support and assistance to families and youth.
-
Foster Care Specialist
2 weeks ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full timeJob Description:We are seeking a compassionate and results-driven Youth Success Specialist to join our Community Based Care of Brevard, Inc. team. As a Youth Services Specialist, you will be responsible for providing case management services to older youth and young adults in foster care. Your expertise in child welfare services and ability to build strong...
-
Veterinarian Emergency Service Head
6 days ago
Maitland, United States BluePearl Vet, LLC Full timeBluePearl Pet Hospital in Maitland, FL is seeking a full-time ER Service Head who will work side by side with our ER clinicians, specialists, and leadership team. The ideal candidate will have a DVM from an accredited university, successfully completed an internship, and have at least three years of ER experience. Previous leadership experience preferred. As...
-
Child Welfare Advocate
2 weeks ago
Maitland, Florida, United States Community Based Care of Brevard, Inc. Full timeJob Summary: Community Based Care of Brevard, Inc. is seeking a highly motivated and compassionate Youth Success Specialist to join our team. As a key member of our Youth Services department, you will be responsible for providing case management services to older youth and young adults in foster care. Your expertise and passion for supporting vulnerable...
-
Service Delivery Coordinator
1 week ago
Maitland, Florida, United States Tetra Tech Full timeCustomer Service PositionWe are looking for a Service Delivery Coordinator to join our Case Management team in Maitland, Florida. This project-based, remote role involves coordinating with customers to resolve their issues efficiently and effectively.Duties and ResponsibilitiesWork closely with team members and other departments to ensure a seamless customer...