Imagine360 is currently seeking a Medical Management Support Specialist to join our team! This The Medical Management Support Specialist will assist the Medical Management Clinicians by supporting non-clinical tasks and\/or projects as assigned.\n

Position: 100% Remote\n

Responsibilities include but are not limited to:\n\nAssist Medical Management Supervisor, Managers, and Clinicians with non-clinical tasks as instructed by the direct supervisor.\nAssigns cases to the appropriate clinical employee, following approved criteria for case assignment; will also transfer non-clinical data as well as structure clinical data, as directed by clinical and non-clinical supervisor(s).\nCommunicates professionally with external providers and vendors to assist with case documentation, requesting clinical documents for clinical staff review.\nFollowing a script, completes non-clinical outreach calls to clients to gather information related to program enrollment, as instructed by Supervisor.\nAssists with Stop Loss communication by sending Stop Loss letters to the Stop Loss Carriers as instructed.\nMonitor specific department email inboxes and assign cases to clinical employees and direct communications received to the appropriate employee as instructed by Supervisor.\nPull program satisfaction survey results and distribute to appropriate employees as needed.\nRun and assemble internal and external reports as instructed.\nMaintain inventory of education and resources for the team.\nMail letters and education material for Medical Management programs to members.\nProcess returned mail for Medical Management.\nPrepare & maintain new hire binders as needed.\nHelp organize and attend scheduled meetings and trainings for the department or company via teleconference or in person.\nProcess participant assessments as assigned.\nWork collaboratively within a team setting to provide positive outcomes for members, clients, peers, and overall operations.\nPerforms all tasks in accordance with Medical Management policies and procedures and HIPAA\/PHI guidelines and follows the policies and procedures as it relates to escalating issues within the staff hierarchy and between clinical and non-clinical staff.\nCompletes all tasks on time and with accuracy.\nParticipate in quality program as assigned.\nPerform all tasks in accordance with HIPAA\/PHI guidelines.\nComplete HIPAA training annually.\nPerform other duties as assigned.\n\n

Required Education and Experience:\n\n0-1 + years' experience working in an administrative support role.\nExperience working with Microsoft Office including Word, Excel, and PowerPoint.\nExperience navigating the internet and using database software.\n\n

Preferred Experience\n\nPrior experience working in an administrative support role specifically supporting non-clinical healthcare operations preferred.\n\n

What can Imagine360 offer you?\n\nMultiple Health Plan Options, including paid premiums\nCompany paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance\nParental Leave Policy\n20 days PTO to start \/ 10 Paid Holidays\nTuition reimbursement\n401k Company contribution\nProfessional development initiatives \/ continuous learning opportunities\nOpportunities to participate in and support the company's diversity and inclusion initiatives\n\n
\n

Want to see our latest job opportunities? Follow us on LinkedIn\n

Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.\n

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status\n

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies\/business partners that have been invited to work on a specific role. Candidate Resumes\/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**