Job Title: Care Management Associate
Company Overview:
Pulivarthi Group is a premier global provider of staffing and IT technology solutions, renowned for delivering exceptional services tailored to each client's unique needs. With a steadfast commitment to excellence, we merge expertise with innovation, ensuring cost-effective solutions of the highest quality. Our diverse client base spans healthcare, finance, government, and beyond, reflecting our adaptability and proficiency across industries. Operating in the United States, Canada, and Mexico, we pride ourselves on aligning with clients' cultures, deploying top-tier talent, and utilizing cutting-edge technologies. Pulivarthi Group stands as a beacon of reliability, efficiency, and innovation in the realm of staffing solutions.
Job Overview/Summary:
The Care Management Associate supports the care coordination and management of patients by assisting healthcare professionals with administrative, billing, and documentation tasks. This role requires strong communication skills, attention to detail, and the ability to work efficiently in a fast-paced healthcare environment.
Responsibilities:
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Provide administrative support for case management and care coordination activities.
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Maintain accurate documentation of patient interactions, ensuring compliance with all policies and regulations.
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Communicate with patients, providers, and internal departments to resolve inquiries.
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Adhere to company policies, confidentiality standards, and compliance regulations.
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Support the administration of hospital care, case management, and quality management processes.
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Assist in researching and resolving claims payment issues when required.
Primary Skills:
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2–4 years of experience in the healthcare field, medical or health setting, or medical billing and coding.
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Experience in a call center or customer service environment.
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Ability to work independently while maintaining professionalism and enthusiasm.
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Strong written and oral communication skills.
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Proven ability to meet daily metrics with speed, accuracy, and a positive attitude.
Secondary Skills (Good to Have):
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Research and problem-solving skills.
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Familiarity with PM Policies, URAQ, NCQA, and CMSA standards.
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Experience maintaining compliance with regulatory and accreditation requirements.
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Knowledge of medical terminology.
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Strong organizational and multitasking abilities.
Qualifications:
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High School Diploma or G.E.D. required.
Benefits/Perks:
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Competitive compensation package.
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Comprehensive health benefits.
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Opportunities for growth and advancement within the organization.
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Supportive and collaborative work environment.
Equal Opportunity Statement:
Pulivarthi Group is proud to be an equal opportunity employer. We are committed to building a diverse and inclusive culture and celebrate authenticity. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, disability, protected veteran status, or any other legally protected characteristics.