Job Description

Who is QTC Management Inc.?

QTC is the nation\xe2\x80\x99s largest provider of disability and occupational health examination services. We are PASSIONATE about our country\xe2\x80\x99s veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.

What part would you play in this role?

As a Medical Case Specialist I, you will be the first line of communication working closely with Veterans to ensure appointments are scheduled timely. You will provide internal and external support to stakeholders by providing detailed information.

Typical Day:

• Mon \xe2\x80\x93 Fri: 8:00am \xe2\x80\x93 4:30pm CST
• Positions are located ONSITE at our San Antonio, TX location.

Pay and Benefits:

Starting pay: $ 16.20 per hour

Pay and benefits are fundamental to any career decision. That\'s why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available .

Job Summary:

Under limited supervision, performs a variety of activities in support of a specific project/business/technical unit. Gathers, collects, records, tracks and verifies data and information from multiple sources. Uses software for functional area to schedule appointments and document in the case management systems. Compiles and generate reports, statistics, timelines, tables, graphs, correspondence and presentations. Provides data and information to others on functional unit processes and procedures. Delivers exceptional customer service at all customer touch points.

Essential Duties and Responsibilities:

• Answer phones from automated call distribution system
• Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran\xe2\x80\x99s 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
• Meet or exceed contract timeliness guidelines in both the scheduling and case management systems
• Other projects and duties as assigned

Competencies:

• Proven ability to plan and organize work load
• Ability to manage competing priorities in a fast paced work environment
• Good follow through skills
• Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts

Education and/or Experience:

• High School diploma, or equivalent (GED) 2 years of additional relevant experience in lieu of diploma/GED
• 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
• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.

Experience Required

• Less than 1 year(s): Experience in healthcare, medical, or insurance related industries

Preferred

• Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation
• Experience with electronic medical scheduling and case management software

Education Required

• High School Diploma or better
• GED or better

Licenses & Certifications Preferred

• Medical Assistant
• Certified Medical Coder
• Certified Nursing Asst

Skills Required

• Written Communication
• Verbal Communication
• Computer Literacy

Preferred

• Problem Solving
• Medical Documentation
• Customer Service
• Multi-line phone
• MS Office
• Medical Scheduling Software
• Medical Terminology
• Medical Data Entry
• Electronic Medical Records

Behaviors Preferred

• Enthusiastic: Shows intense and eager enjoyment and interest
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Team Player: Works well as a member of a group
• Innovative: Consistently introduces new ideas and demonstrates original thinking

Motivations Preferred

• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
• Goal Completion: Inspired to perform well by the completion of tasks
• Job Security: Inspired to perform well by the knowledge that your job is safe
• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor\xe2\x80\x99s legal duty to furnish information. 41 CFR 60-1.35(c)

QTC Management