Medical Case Specialist I - Castroville, United States - QTC Management

Description

Are you someone who has a knack for details and a passion for helping others? If so, we would love to speak with you

Leidos QTC Health Services 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.

Who is Leidos QTC Health Services?

Leidos QTC Health Services collaborates closely with government and non-government customers to address current and future program needs within the health services domain. We specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing technologies that improve service delivery, with a particular emphasis on enhancing accessibility for examinees in rural communities. With a proven track record of continuous improvement and steady growth, we now handle over 2 million appointments annually. Visit for more information.

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 also:

• Answer phones from automated call distribution system.
• Obtain medical history for specific condition.
• Determine appropriate examinations, tests and specialists required for each case.
• Schedule appointments for examinees including follow-up appointments and rescheduled appointments.
• Verify appropriate CPT and CLIN codes are assigned to each case.
• 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 additional relevant experience in lieu of diploma/GED
• Knowledge of anatomy and medical terminology
• Knowledge of Medical scheduling
• Intermediate to advanced computer software skills

Typical Day:

• Monday - Friday - 8:00 am - 4:30 pm or 8:30 am - 5:00 pm (CST)
• Positions are located ONSITE at our San Antonio office located 4400 N.W. Loop 410, Ste. 500 San Antonio, TX 78229
• Remote considered after completion of training.
• • Employment as a Medical Case Specialist I will include successful completion of a 90-day probationary period during which you will be given objectives to achieve. This timeframe lets you assess your readiness for the position as well as allows Leidos QTC Heath Services to determine your ability to successfully perform the job. You will be provided objectives, documentation, training and performance feedback during the 90-day probationary period as part of your assimilation to the role. After successfully completing the 90-day probationary period, you will be considered a permanent employee.

Pay and Benefits:

Starting pay: $ 17.20 per hour with an additional 3% increase after 90 days and another 3% increase after completion of training.

Leidos QTC Health Services 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.

Pay and benefits 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 .

Commitment to Diversity

Leidos QTC Health Services 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.

This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

Experience

• Less than 1 year(s): Experience in healthcare, medical, or insurance related industries

• Direct 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 explanation
• Experience with electronic medical scheduling and case management software

Education

• High School Diploma or better
• GED or better

Licenses & Certifications

• Medical Assistant
• Certified Medical Coder
• Certified Nursing Asst

Skills

• Written Communication
• Verbal Communication
• Computer Literacy

• Problem Solving
• Medical Documentation
• Customer Service
• Multi-line phone
• MS Office
• Medical Scheduling Software
• Medical Terminology
• Medical Data Entry
• Electronic Medical Records

Behaviors

• 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

Motivations

• 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

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The 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 c)