This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This role involves performing clerical and administrative duties in the care management department.

• Review service requests from internal and external customers; respond accurately and timely.
• Provide accurate information to internal and external customers (reports, flyers, data collection).
• Perform data entry and maintain complete documentation of case information; assist in document maintenance or revisions; compile monthly reports; maintain logs and files.
• Plan, organize, and carry out work assignments timely and orderly.
• Maintain folders for various projects organized for easy access.
• Use appropriate judgment in upward communication regarding department or employee concerns.
• Participate in routine meetings and maintain a current task, shared task list or current projects.
• Meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis.
• Create, manage, and pull invoices to confirm payment, revenue, and expenses.
• Ability to pass external audits to include URAC and NCQA.
• Maintain HIPAA compliance per company’s policy and procedures.
• Maintain confidentiality and minimum requirement rules.
• Complete all required yearly training per company’s expected period.

Key Competencies:

• Strong written and verbal communication skills.
• Proficient in Microsoft and Adobe products including but not limited to; Excel, Word, Power Point, Adobe, Air Table, Power BI, and Outlook.
• Data analytics and analysis knowledge.
• Ability to organize, prioritize, and multitask in a fast-paced/deadline driven environment.
• Finance or bookkeeping knowledge, skills, and terminology.
• Demonstrate ability to work independently with excellent judgment.
• Accurate data entry skills (40wpm).
• Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirable.
• Strong customer orientation.
• Good time management skills; highly organized.
• Comfort learning new systems, tools, and workflows in a fast-paced environment.

Qualifications

• High school graduation or equivalent (GED).
• Prior experience in a medical front office, hospital patient intake or medical claims processing, or an equivalent combination of education and experience.
• Proficient in Excel and/or Airtable.
• Experience working with claims, utilization management, care management, or revenue cycle data.
• Experience preparing reports, summaries, or dashboards for operational or leadership review.
• Experience working with healthcare administrative data (e.g., claims, eligibility, benefits, billing, or authorizations).

Requirements

• Ability to perform the essential job functions safely and successfully with or without a reasonable accommodation, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance.
• Ability to sit for 6-8 hours.
• Constant use of computer keyboard and mouse; repetitive use of both hands.
• Occasional to frequent twisting of neck; frequent bending of neck and at waist.
• Able to move and set up tables and chairs.

Benefits

• Competitive base salary and benefits effective day one.
• Comprehensive medical and dental through our own health solutions (yes, we use what we build).
• Paid Time Off—rest and recharge time is non-negotiable.
• Mental health support, retirement planning, and financial protection.
• Professional development with clear career progression and learning budgets.
• Mission-driven culture where diverse perspectives drive real impact on people's health.