Allied is a national healthcare solutions company that works with organizations who choose to take control of their healthcare. We customize employer self-insurance benefits to align with individual choice and organizational need while integrating medical management innovations and cost-control strategies. With healthcare designed for people, employers never have to choose between price and the best-fit insurance products to protect employees and their families. Allied’s philosophy is to create a culture of health for our member organizations and their employees beyond simple, medical health. We integrate administrative services, care solutions and analytics to achieve better clinical, behavioral and social patient outcomes. Allied’s programs and benefit services are designed and structured to infuse value on every front – for employers and HR departments, for plan members and their families, for healthcare providers, and for us. We’re in this together, committed to your future.

Job description

ENHANCED CASE MANAGEMENT COORDINATOR I

Position Summary

An ECM Coordinator supports department staff with administrative tasks related to a member’s medical condition(s), department case work, communication with internal and external stakeholders, and manage audits.

Essential Functions

Delegating tasks to the appropriate department team members
System documentation for the Case Management, Enhanced Case Management, and Clinical teams
Manage basic benefit and case management status questions received from the internal Allied stakeholders
Document other insurance and member's demographic information from Allied vendor partners
Assist Enhanced Case Management Coordinator II with claims auditing as needed
Complete department auditing related to daily tasks to ensure accuracy and identify escalations
Maintain minutes in department and individual team meetings and archive proceedings
Other duties as assigned

EDUCATION

High school diploma or equivalent required.

Required Skills And Abilities

At least 1 year of administrative support experience, preferred
Understanding of basic medical terminology, such as CPT and HCPC
Strong verbal and written communication skills
Basic problem-solving skills
Ability to prioritize tasks and delegating as appropriate

COMPETENCIES

Communication
Initiative
Time Management
Technical and Job Function Skills
Self-Development

PHYSICAL DEMANDS

This is a standard desk role – long periods of sitting and working on a computer are required.

WORK ENVIRONMENT

Remote

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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