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Medical Case Specialist TX  San Antonio, TX  Posted: 8/11/2020
Job Description

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Job Category:


Position Type:




Positions Available:


 Answer phones from automated call distribution system
 Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veterans Administration
 Verify appropriate CPT and CLIN codes are assigned to each case
 Communicate directly with claimants and providers
 Obtain medical history for specific conditions
 Determine appropriate examinations, tests and specialists required for each case
 Schedule appointments for examinees including follow-up appointments and rescheduled appointments
 Ensure all examinees and providers receive necessary documentation
 Confirm consultative reports and diagnostic test results are received in a timely manner
 Achieve contract timeliness guidelines in both the scheduling and case management systems

Job Requirements


 Proven ability to plan and organize work load
 Ability to manage competing priorities in a fast paced work environment
 Good follow through skills
 Work well in a team oriented work environment
 Strong verbal and written communication skills
 Excellent customer service skills with ability to critically evaluate and resolve problems
 Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts
Education and/or Experience: (includes certificate & licenses)
 High School diploma or equivalent experience/combined education.
 0 to 1 year of related experience
 healthcare experience preferred
 Experience with electronic medical scheduling and case management software
 Experience with medical coding and knowledge of medical terminology
 Strong computer skills at intermediate level


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