Examiner - in - Charge leading examinations of captive insurance companies within Vermont Department of Financial Regulation. A focus on operations, compliance, and financial reporting for oversight of these companies.
About the role
- Case Management Specialist in US Healthcare Insurance overseeing patient assessments and developing tailored healthcare plans while coordinating with US insurance providers.
Responsibilities
- **Responsibilities:**
- Conduct initial assessments of patients' medical conditions, care needs, and treatment goals. Develop Healthcare plans tailored to each patient's requirements.
- Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions.
- Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns.
- coordinates with US insurance providers
Requirements
- Graduate of Medical Allied Courses
- Basic knowledge about Medicare and Medicaid
- 1 year BPO Healthcare Experience related to reviewing medical records, authorization,claims, denials and appeals
- Familiar with common medical terminologies
- Good English verbal and written skills
- Good work management skills
- Familiar with common medical terms
- Familiar with MS Office Tools and applications
Benefits
- **What can we offer you?**
- Competitive salary and benefits
- Health Insurance with free dependents*
- 10%-night differential
- Attendance Bonus
- Paid time off
- Convertible to cash leave credits
- Performance Appraisal
- Work-life balance
- A focus on growing your career path with us
- We encourage you to follow your passions and learn new skills
- **Our commitment to you**
- Strong culture and values-driven leadership
- We create opportunities for you to learn and grow at any stage of your career
- Continuous learning and innovation
- We foster an all inclusive environment where everyone thrives
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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