QTC Management, Inc. Looking for Medical Case Specialist I-MCO at Falls City, Texas Full Time

This position is NOT remote and is located on-site in San Antonio, TX.

Starting Pay and Increase as follows : $16.20 -> you will receive a 3% increase after your first 90 days of training to $16.69 -> and an additional 3% increase upon graduating the training program to $17.19 + 6% Quarterly Bonus.

Do you want a job that makes a difference in other’s lives? Do you enjoy helping people? How about helping our Nation’s Heroes? This is the job for you .

We’re looking for customer friendly folks that are familiar with scheduling appointments and have working computer knowledge.

At QTC, the nation’s largest provider of disability and occupational health examination services, we are PASSIONATE about our country’s veterans, UNITED as a team and INSPIRED to make a difference.

We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent:

• Competitive compensation and quarterly bonuses
• Tuition reimbursement
• A 50% company match of your pre- and post-tax contributions up to 6% of your salary, including immediate vesting of company contributions
• Generous paid time off (minimum of 14 days/year), as well as 10 paid holidays
• Access to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accounts
• An inclusive and ethical work place

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’s 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
• Knowledge of medical terminology strongly preferred
• Ability to schedule appointments preferred

Education and/or Experience:

• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigations
• Ability to schedule appointments desirable
• Knowledge of Medical terminology desirable
• High School diploma/GED required
• Basic working computer knowledge required

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. Employment benefits include competitive compensation, performance-related bonuses, health and wellness programs, student loan repayment and tuition reimbursement, paid leave and retirement. More details are available here .

The QTC pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

The QTC Management pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

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 Required

• Medical Assistant

Preferred

• 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’s legal duty to furnish information. 41 CFR 60-1.35(c)