Case Management Coordinator III

This is a fully remote position, open to applicants in Illinois.

📋 Description

• An ECM Coordinator III assists department personnel with administrative responsibilities related to a member’s medical conditions, departmental casework, and communication with both internal and external parties while managing audits.

• This position will interact with members to provide support and resources concerning their medical conditions through Allied Care.

• Facilitate reviews, referrals, and outreach for referral-based proprietary strategies, as well as engaging with members across Medical Management products.

• Accurately and concisely document all interactions within the Microsoft Customer Relationship Management (CRM) system.

• Address escalated and time-sensitive case management inquiries from members, fostering relationships with brokers and internal and external Allied stakeholders.

• Work collaboratively with strategic vendor partners to offer supportive services and assistance to members.

• Oversee and conduct claims auditing in partnership with ECM Coordinators.

⛳️ Requirements

• A Bachelor’s Degree or equivalent experience is required.

• A minimum of 3-5 years of administrative support experience is necessary.

• Experience in patient-provider engagement, needs assessments, coordination of care, or patient treatment adherence within the healthcare or social service sectors is preferred.

• Familiarity with intermittent medical terminology such as CPT, HCPC, and diagnostic codes is essential.

• Knowledge of basic benefit plan design terminology including deductible, out-of-pocket, prescription drugs, physical medicine services, etc., is required.

• Excellent verbal and written communication skills are mandatory.

• Strong analytical and problem-solving abilities are essential.

🏝️ Benefits

• Medical

• Dental

• Vision

• Life and Disability Insurance

• Generous Paid Time Off

• Tuition Reimbursement

• EAP

• Technology Stipend