Director, Case Management

About the Role

The Physician Scheduler will coordinate a variety of operational support services, providing assistance to Physician Advisors, clients, and the management team while handling daily office needs and general administrative tasks.

Responsibilities

• Schedule peer-to-peer (concurrent denial) calls with medical insurance payers and Physician Advisors
• Update payer contact activity and scheduling status within the Physician Advisory Portal
• Maintain client, Physician Advisor, and contact records across internal systems
• Coordinate communication between Physician Advisors, payers, and clients via phone, email, and virtual meetings
• Support the onboarding of new Physician Advisors, including documentation, equipment coordination, training logistics, and follow-up
• Assist with the development and documentation of standardized processes and procedures
• Provide operational support to remote Physician Advisors, including EMR access setup, maintenance, and troubleshooting
• Serve as a point of contact for internal and external stakeholders, supporting data collection, reporting, and special projects
• Present updates and information during team meetings as needed
• Manage incoming calls, correspondence, mail, and other administrative communications
• Process and resolve returned or undeliverable mail within client systems
• Coordinate calendar management and expense reporting for Physician Advisory leadership
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum necessary to perform assigned duties
• Other duties as assigned

Requirements

• High school diploma or equivalent required
• 1-2 years of administrative experience required
• 1-2 years of medical terminology knowledge required
• Knowledge of healthcare administration a plus
• Knowledge of Electronic Medical Record (EMR) systems is a plus
• Proficiency in Microsoft Office Suite
• Adept at using standard computer hardware, email, and internet resources
• Strong interpersonal skills and ability to communicate well at all levels of the organization
• Strong problem-solving and creative skills with the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results-oriented approach
• Excellent written and verbal communication skills

Working Conditions

• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

Physical Demands

While performing the duties of this job, the employee is occasionally required to:

• Move around the work area
• Sit
• Perform manual tasks
• Operate tools and other office equipment such as computers, computer peripherals, and telephones
• Extend arms
• Kneel
• Talk and hear

Mental Demands

• Follow directions
• Collaborate with others
• Handle stress

Work Environment

The noise level in the work environment is usually minimal.