Enhanced Case Management Coordinator I

POSITION SUMMARY

An ECM Coordinator supports department staff with administrative tasks related to a member’s medical condition(s), department case work, communication with internal and external stakeholders, and manage audits.

ESSENTIAL FUNCTIONS

• Delegating tasks to the appropriate department team members
• System documentation for the Case Management, Enhanced Case Management, and Clinical teams
• Manage basic benefit and case management status questions received from the internal Allied stakeholders
• Document other insurance and member's demographic information from Allied vendor partners
• Assist Enhanced Case Management Coordinator II with claims auditing as needed
• Complete department auditing related to daily tasks to ensure accuracy and identify escalations
• Maintain minutes in department and individual team meetings and archive proceedings
• Support requests from various teams within Medical Management to make outbound calls to CMS, physicians, hospitals, clinics and dialysis facilities.
• Other duties as assigned

EDUCATION

• High school diploma or equivalent required.

REQUIRED SKILLS AND ABILITIES

• At least 1 year of administrative support experience, preferred  
• Understanding of basic medical terminology, such as CPT and HCPC
• Strong verbal and written communication skills
• Basic problem-solving skills
• Ability to prioritize tasks and delegating as appropriate

COMPETENCIES

• Communication
• Customer Focus
• Accountability
• Functional/Technical Job Skills

PHYSICAL DEMANDS

• This is a standard desk role – long periods of sitting and working on a computer are required.

WORK ENVIRONMENT

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting th