Jobs in America

Remote Case Manager Services Representative | $18.00 an Hour!

Posted: February 24, 2024 Expired: May 24, 2024
High School

Overview: Our Case Manager Services Representatives (CMSR) are part of the Operations Department. As a CMSR you’ll be responsible for working with case managers (CMs), representatives from agencies, clients, and internal team partners. A CMSR’s core responsibility is to maintain and ensure complete, accurate client account records and provide support to CMs. Work comes in the form of, but is not limited to, phone calls, helpdesk tickets in H2H, Rivet tasks like member referrals, and account authorizations, transfers, holds, and disconnects.

  • Monday - Friday 11:30am to 8:00pm EST
  • 9:00am to 5:00pm 2 weeks
  • Work with case managers (CM) and agencies to enroll new members, update member accounts, and other requests initiated by the CM, agency, other authorizers, and additional sources as identified
  • Answer incoming phone calls from a CM, agency representatives, or any other authorizer
  • Communicate with agencies, CMs, and authorizers to ensure VRI is receiving updated and accurate information when needed
  • Work assigned H2H tickets that may include referrals, authorizations, disconnects, holds, transfers, service jobs, and other tasks
  • Process tasks in Rivet work queues to ensure client services are transferred or disconnected as appropriate for accurate billing
  • Answer routine inquiries and refer calls not requiring dispatches to appropriate departments and agencies.
  • Perform outbound calls to new clients to welcome them to VRI, collect required information and advance their progress to activation
  • Process new client referrals and enter client demographic and billing information into VRI systems
  • Manageoutbound and inbound phone calls to clients, care givers and case management support staff to explain services and establish client relationships
  • Accurately enter client data for new members
  • Update authorizations to ensure accurate billing
  • Contact CMs and agencies to obtain new or corrected authorizations
  • Enter referrals for new members accurately the same day they are received
  • Mail, email, and fax notifications to case managers for potential disconnect and completed disconnect of client services
  • Save all notifications to and from case managers and agency representatives in the document management system, Intact
  • Act on Domo and other reports identifying issues in records
  • Communicate with other VRI employees and teams by email, phone, and internal system notes and messages
  • Comply with requirements to protect client data, use client data only for the purpose of managing the client’s account with VRI and associated claims
  • Comply with VRI and Case Manager Support team policies, procedures, job aids, reference materials, memos, notes, videos, and other training that is provided
  • Meet individual, team and department goals for productivity and quality
  • Other duties as assigned
  • Requires high school diploma or GED
  • Comfort with using computers and saving electronic files
  • Experience using Microsoft Outlook and Teams preferred
  • Ability to work flexible hours and overtime when needed
  • Able to manage time to complete tasks within the expected timeframe
  • Team player with a positive attitude
  • Ability to multi-task
  • Excellent customer service skills
  • Attention to detail
This job was expired