Case Management Specialist (Hybrid) at A1M Solutions

Makati, Metro Manila, Philippines

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, BPOIndustries

Requirements

Graduate of Medical Allied Courses
Basic knowledge about Medicare and Medicaid
1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals
Familiar with common medical terminologies
Good English verbal and written skills
Good work management skills
Familiar with MS Office Tools and applications

Responsibilities

Conduct initial assessments of patients' medical conditions, care needs, and treatment goals
Develop Healthcare plans tailored to each patient's requirements
Administer medications, treatments, and medical procedures as prescribed by healthcare providers
Monitor vital signs and assist with wound care, IV therapy, or other medical interventions
Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns
Coordinates with US insurance providers

Skills

Prior Authorization

Medicare

Medicaid

Medical Records Review

Claims

Denials

Appeals

Medical Terminology

MS Office

English Communication

A1M Solutions

Design and data support for government healthcare

About A1M Solutions

A1M Solutions specializes in providing design, data, and policy-informed support for government healthcare programs, with a focus on serving disadvantaged populations. The company leverages expertise in government healthcare programs, data analysis, and policy/legislation to design effective business strategies and enhance digital service delivery, utilizing agile research and insights to untangle complex problems and generate thoughtful solutions.

Chico, CA, USAHeadquarters

2018Year Founded

VENTURE_UNKNOWNCompany Stage

Consulting, Social ImpactIndustries

11-50Employees