Program & Project Manager
Summary
The Coordinator position is responsible for accurately and efficiently entering large volumes of data into the company’s case management system. This role requires strong attention to detail, the ability to manage high workloads, and excellent verbal and written communication skills for interacting with government contractors, teammates, and customers.
The Coordinator will perform a variety of tasks, including initiating conditional payment investigations, submitting letters of authorization to Medicare, processing mail, and handling both verbal and written communications. The role operates within set deadlines and demands a high level of accuracy and professionalism.
Additionally, the Coordinator must be willing to cross-train with teammates in similar roles to provide backup support when needed.
Essential Duties and Functions
- Processes incoming and outgoing mail.
- Reviews and accurately enters data into the case management system.
- Carefully reviews incoming referrals and uploads corresponding documents.
- Reviews special handling instructions to ensure files are processed in accordance with customer directives.
- Assists with managing open files, including through the Medicare Set-Aside process.
- Initiates conditional payment investigations and submits letters of authorization to Medicare.
- Generates and follows up on proper authorization requests.
- Follows up on case status via Medicare contractor portal or phone call.
- Requests final demand or closure letters from Medicare contractors.
- Initiates and follows up on release form requests.
- Conducts telephone calls as assigned; receives, screens, and routes incoming calls.
- Communicates with teammates and customers through written and verbal channels.
- Coordinates with Social Security and Medicare offices.
- Prepares and distributes template documents to teammates and customers.
- Delegates tasks to teammates as needed.
- Collaborates with all teams to meet customer needs and internal service standards.
- Works diligently to earn and maintain customer trust.
- Escalates customer concerns to the Team Leader for review and resolution.
- Reviews assigned exception reports.
- Prepares a daily Work Condition Report.
- Fosters team cohesion by consistently demonstrating diplomatic, professional, and effective written and
verbal communication - Strictly adheres to company confidentiality policies and procedures, safeguarding sensitive information at
all times. - Performs other duties as assigned.
Qualifications and Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Required Qualifications
- Minimum High School Diploma or equivalent
- Basic working knowledge of Outlook, Word, Excel, and PDF software
Preferred Qualifications
- College degree and/or college courses
- 1-3 Years of experience in Workers’ Compensation
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits and benefit details and offerings may vary.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.