Case Manager – Service Representative

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

📋 Description

• Ensures that client account records are complete and accurate.

• Provides assistance to case managers, agency representatives, clients, and internal team partners.

• Collaborates with case managers and agencies to facilitate the enrollment of new members and updates to member accounts.

• Responds to incoming calls from case managers, agency representatives, and other authorizers.

• Maintains communication with agencies, case managers, and authorizers to verify and obtain updated information.

• Manages assigned tickets related to referrals, authorizations, disconnects, holds, transfers, service jobs, and other tasks.

• Processes work-queue tasks to ensure accurate transfer or disconnection of client services for billing purposes.

• Updates authorizations for correct billing and contacts case managers and agencies for necessary corrections.

• Enters referrals for new members on the same day they are received.

• Sends notifications regarding potential and completed service disconnects.

• Documents communications in the document management system.

• Addresses issues related to records and associated reports.

• Promotes communication through email, phone calls, and internal system notes and messages.

• Complies with data protection requirements and utilizes client data solely for account and claims management.

• Adheres to organizational policies, procedures, job aids, reference materials, and training provided by the Case Manager Support team.

• Achieves productivity and quality goals at the individual, team, and departmental levels.

• Participates in additional projects or other duties as assigned.

⛳️ Requirements

• High School Diploma is required.

• No prior experience is necessary (0+ years).

• Alternatively, an equivalent combination of education and/or experience is acceptable.

• Basic computer skills with comfort in using electronic files and saving documents.

• Basic familiarity with Microsoft Outlook and Teams is preferred.

• Demonstrated ability to effectively manage time and complete tasks within designated timeframes.

• Strong team-oriented approach coupled with a positive and cooperative attitude.

• Capable of handling multiple tasks concurrently, demonstrating proficient multitasking skills.

• Entry-level customer service skills, showcasing a commitment to delivering excellent service.

• Attention to detail in executing tasks and communication.

• Primarily involves seated work; extensive use of computer and telephone; occasional standing, walking, reaching, bending, and lifting up to 10 lbs.

🏝️ Benefits

• Medical, Dental, and Vision insurance

• Employer Paid Basic Life Insurance and AD&D

• Voluntary Life Insurance (Employee/Spouse/Child)

• Health Care and Dependent Care Flexible Spending Accounts

• Pre-Tax and Post-Tax Commuter and Parking Benefits

• 401(k) Retirement Savings Plan with Company Match

• Paid Time Off

• Paid Parental Leave

• Short-Term and Long-Term Disability

• Tuition Reimbursement

• Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)