Allied Benefit Systems
201 - 500 employees
Founded 1980
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.
Case Management Coordinator III
🔥 0 minutes ago
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Allied Benefit Systems
201 - 500 employees
Founded 1980
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.
📋 Description
• An ECM Coordinator III supports department staff with administrative tasks related to a member’s medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. • This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. • Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products. • Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system. • Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders. • Collaborate with strategic vendor partners to provide supportive services and support to members. • Lead and facilitate claims auditing in conjunction with ECM Coordinators.
🎯 Requirements
• Bachelor’s Degree or equivalent work experience, required. • At least 3-5 years of administrative support experience required. • Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred. • Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes. • Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. • Strong verbal and written communication skills. • Strong analytical and problem-solving skills.
🏖️ Benefits
• Medical • Dental • Vision • Life and Disability Insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend
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