CARE MANAGEMENT ASSISTANT

About the role

The Care Management Assistant (CMA) supports the Care Management Coordinators with administrative and clerical duties in an effort to meet mandated deadlines relating to utilization review. As the first point of contact for our members, the CMA will be responsible for answering telephone calls, processing faxes, and entering authorization for review. This is a high-volume desk.

Responsibilities

• Maintain strict HIPAA Confidentiality; follow all internal policies and procedures to maintain the confidentiality for all members and member data
• Answer a high volume of telephone calls
• Provide high quality general administrative services and support to the entire department
• Work independently on assigned tasks and activities, based on established policies and procedures
• Receive, log and distribute mail correspondence
• Manage the department's email accordingly
• Handle a variety of basic office tasks such as; filing, faxing, copying, scanning etc.
• Enter requests into the Medical Utilization Review system with accuracy and completeness (99% of the time)
• Adhere to exact deadlines; determination letters must be sent out to the appropriate parties within 24 hours of the medical determination
• Remain in contact with Care Management staff, other BRMS staff/departments, provider's offices and members
• Perform other duties and responsibilities as assigned by the Management

Requirements

• High School diploma or G.E.D and minimum of one to two years administrative experience within the medical or insurance field; or equivalent and any combination of education, training, and/or experience, which demonstrates ability to perform the duties described
• Strong communication skills, effective and accurate written and verbal form
• Strong customer service-oriented skills for both internal staff and external clients
• Strong organizational skills which support timely and well documented action to manage concurrent deadlines and multiple priorities
• Keyboarding skills and the ability to utilize computer equipment and software are required as is experience with other types of standard office equipment
• Strong working knowledge of Microsoft Office, excel, windows-based products and software specific to document scanning
• Ability to work independently and within a team environment
• Ability to read, speak, and write effectively in English
• Ability to interpret documents such as safety rules, memos, letters, and procedure manuals
• Ability to write routine reports and correspondence
• Ability to speak effectively with customers or fellow employees within the organization
• Ability to effectively address or resolve customer service issues within guidelines of the position
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
• Ability to deal with problems involving several concrete variables in standardized situations
• Mathematical Skills: Ability to add and subtract, multiply and divide with 10's and 100's
• Medical terminology preferred

Schedule

Must be able to work within core hours of operation Tuesday-Saturday 8:00 am - 5:00 pm in the office.

Physical demands

• Must be able to sit for extended periods of time; view and input data on PC for extended periods of time
• Frequently required to reach with hands and arms and talk or hear
• Occasionally required to stand or stoop; walk and use hands to finger, handle, or feel
• May frequently lift and/or move up to 10 pounds
• Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus