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Medical Case Specialist I - MEDIC014850
Medical Case Specialist I - MEDIC014850-April 2024
Philadelphia
Apr 1, 2026
About Medical Case Specialist I - MEDIC014850

  Medical Case Specialist I - MEDIC014850

  DESCRIPTION/RESPONSIBILITIES:QTC is seeking qualified candidates for Medical Case Specialist opportunities on our Veteran Affairs Operations team. You will serve as the face of the organization through direct interactions with military service members, delivering exceptional customer service at all touch points.

  What part would you play in this role?As a Medical Case Specialist, you will work closely with veterans and the Veterans Administration to gather, collect, record, track and verify data and information from multiple sources. You will use software for functional area to schedule appointments and document in the case management systems while ensuring customer service at all customer touch points.

  In this rewarding role, you will:* Required to make specific amount of daily outbound calls to schedule appointments for examinees, including follow-up appointments and rescheduled appointments while maintaining customer satisfaction standards.* Communicate directly with claimants.* Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran's Administration   * Determine appropriate examinations, tests and specialists required for each case.   * Meet or exceed contract timeliness guidelines in both the scheduling and case management systems.* Ensure all examinees and providers receive necessary documentation.  * Other projects and duties as assigned.

  You must have: * High School diploma, or equivalent (GED) or 2 years of experience in lieu* 1 to 3 years of related experience

  Preferred:* Excellent communication skills in English, both written and verbal* Experience coordinating appointments for patients.* Proficiency in utilizing various computer applications (i.e. MS Office), EMRs and other scheduling software. * Highly skilled in multi-tasking while managing multiple priorities.

  Typical Day: * Monday -- Friday - 8:30 am -- 5:00 pm or 9:00 am - 5:30 pm (EST)

  Remote position - Must reside in Eastern Standard TimePay and Benefits: Starting pay: $18.70 per hour.

  Travel RequiredNo.

  QualificationsSkillsRequired * Written CommunicationIntermediate * Verbal CommunicationIntermediate * Computer LiteracyIntermediate

  Preferred * Problem SolvingIntermediate * Medical DocumentationIntermediate * Customer ServiceIntermediate * Multi-line phoneAdvanced * MS OfficeIntermediate * Medical Scheduling SoftwareIntermediate * Medical TerminologyIntermediate * Medical Data EntryIntermediate * Electronic Medical RecordsIntermediate

  BehaviorsPreferred * Enthusiastic: Shows intense and eager enjoyment and interest * Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well * Team Player: Works well as a member of a group * Innovative: Consistently introduces new ideas and demonstrates original thinking

  MotivationsPreferred * Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work * Goal Completion: Inspired to perform well by the completion of tasks * Job Security: Inspired to perform well by the knowledge that your job is safe * Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

  EducationRequiredGED or better.High School Diploma or better.

  ExperienceRequired * Less than 1 year: Experience in healthcare, medical, or insurance related industries

  PreferredDirect healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanationExperience with electronic medical scheduling and case management software

  Licenses & CertificationsPreferredMedical AssistantCertified Medical CoderCertified Nursing Asst

  Pay and bene its are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here.

  The QTC Management pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

  QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.

  Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) 

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