Case Management Support Specialist – Early Intervention

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

📋 Description

• Promptly and accurately initiate and configure new cases in case-management systems.

• Assess referrals and input demographic details, contact information, provider specifics, service data, and important dates.

• Upload, label, organize, and manage necessary case documentation.

• Examine records for any missing, incomplete, outdated, or conflicting data and follow up with the relevant parties.

• Review, enter, and update service authorizations as needed.

• Monitor pending, missing, incorrect, and expiring authorizations.

• Compare authorization details against service plans and provider schedules to identify any discrepancies.

• Follow up with coordinators, providers, EI Hub contacts, and internal teams to secure corrections or updated authorization details.

• Escalate urgent authorization issues that could affect services or delay billing processes.

• Communicate with the Billing Department regarding changes in authorizations, provider assignments, service dates, documentation statuses, claim holds, and denials.

• Investigate outstanding billing items and aid in resolving related issues.

• Supply billing staff with precise case information and necessary documentation.

• Monitor coordinator email accounts and liaise with providers concerning missing, late, incomplete, or inaccurate session notes.

• Track outstanding provider documentation and productivity items diligently.

• Follow up on missing or expired prescriptions and scripts.

• Keep track of progress reports and follow up on upcoming, overdue, incomplete, or incorrect reports.

• Maintain accurate logs of outreach attempts, responses, outstanding items, and resolutions.

• Ensure case records, tracking logs, status fields, and document folders are precise and up-to-date.

• Review assigned work queues and outstanding-item reports daily, prioritizing tasks based on urgency and deadlines.

• Communicate professionally with providers, physician offices, coordinators, billing teams, families, and internal staff.

• Provide consistent updates on outstanding items and case statuses.

• Identify and escalate barriers, service risks, complaints, negative reports, and unresolved discrepancies.

• Assist with audits, case reviews, reports, and other administrative responsibilities.

• Uphold strict confidentiality and comply with HIPAA and relevant privacy regulations.

⛳️ Requirements

• Prior administrative experience in healthcare, home care, therapy, Early Intervention, case management, or a related field is highly preferred.

• Experience with authorizations, billing follow-ups, clinical documentation, prescriptions, or provider coordination is preferred.

• Strong written and verbal communication skills in English.

• Exceptional attention to detail, organizational skills, follow-through, and time-management abilities.

• Capability to review and compare service plans, authorizations, prescriptions, session notes, and progress reports for accuracy and completeness.

• Comfortable communicating via email and phone with healthcare providers, physician offices, internal departments, and other stakeholders.

• Proficient in Microsoft Office, email, spreadsheets, shared trackers, and electronic case-management systems.

• Able to handle high-volume workloads and manage multiple cases and deadlines concurrently.

• Ability to work independently during designated U.S. business hours while effectively collaborating with a team.

• Must be at ease managing confidential information and complying with HIPAA regulations.

• Strong persistence and professionalism when following up on outstanding items.

• Desktop computer with at least one external monitor is required.

🏝️ Benefits

• Independent Contractor arrangement.

• Remote work setup.

• Schedule: Monday–Thursday, 9:00 AM–5:00 PM; Friday, 9:00 AM–12:30 PM.

• 45-minute unpaid break, Monday–Thursday.