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Medical Case Specialist I

Company: QTC Management, Inc.
Location: Joelton
Posted on: September 18, 2023

Job Description:

Do you want to make a difference in the lives of America's military service members? Are you looking for a change of pace, with reasonable and flexible hours? QTC is seeking qualified candidates for Medical Case Specialist opportunities on our Veteran Affairs Operations team. You will serve as the face of the organization through direct interactions with military service members, delivering exceptional customer service at all touch points. Who is QTC Management, Inc.? QTC is the nation's largest provider of disability and occupational health examination services. We are PASSIONATE about our country's veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all. In this rewarding role, you will:

  • Conducting high volume outbound calls to claimants to schedule medical evaluation appointments, follow ups and any other needs in the scheduling process
  • Delivers exceptional customer service at all customer touch point
  • Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by the Veteran's Administration office
  • Verify appropriate Current Procedural Terminology (CPT) and CLIN codes are assigned to each case
  • Obtain medical history for specific conditions
  • Determine appropriate examinations, tests and specialists required for each case
  • Schedule appointments for examinees including follow-up appointments and rescheduled appointments
  • Ensure all examinees and providers receive necessary documentation You must have:
    • 1 year of customer service background in a fast paced environment
    • High School Diploma / GED Required or 2 years of relevant experience in lieu
    • 1-3 months of medical assistant background or equivalent medical terminology background
    • Strong Communication/ Customer Service Skills
    • Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation Preferred to have:
      • Highly driven with the ability to learn quickly
      • Computer Literacy - Working with Dual Monitors and multiple software's (Word, Outlook, Excel)
      • Proven ability to plan and organize work load
      • Ability to manage competing priorities in a fast paced work environment
      • Good follow through skills
      • Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts Typical Day:
        • Hours will be Mon - Fri: 8:00am - 4:30pm
        • Positions are located ONSITE at our Nashville office location 100 Centerview Drive, Nashville, TN 37214 Pay and Benefits Starting pay is $17.00/per hour Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here Commitment to Diversity QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status. This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties, and responsibilities. Management reserves the right to add or change the duties of this position as required at any time. Experience Required
          • Less than 1 year(s): Experience in healthcare, medical, or insurance related industriesPreferred
            • Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation
            • Experience with electronic medical scheduling and case management software Education Required
              • High School Diploma or better
              • GED or better Licenses & Certifications Preferred
                • Medical Assistant
                • Certified Medical Coder
                • Certified Nursing Asst Skills Required
                  • Written Communication
                  • Verbal Communication
                  • Computer LiteracyPreferred
                    • Problem Solving
                    • Medical Documentation
                    • Customer Service
                    • Multi-line phone
                    • MS Office
                    • Medical Scheduling Software
                    • Medical Terminology
                    • Medical Data Entry
                    • Electronic Medical Records Behaviors Preferred
                      • Enthusiastic: Shows intense and eager enjoyment and interest
                      • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
                      • Team Player: Works well as a member of a group
                      • Innovative: Consistently introduces new ideas and demonstrates original thinking Motivations Preferred
                        • Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
                        • Goal Completion: Inspired to perform well by the completion of tasks
                        • Job Security: Inspired to perform well by the knowledge that your job is safe
                        • Growth Opportunities: Inspired to perform well by the chance to take on more responsibilityEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: QTC Management, Inc., Nashville , Medical Case Specialist I, Healthcare , Joelton, Tennessee

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