Put your talents to work at PCM! Whether you work in our Home Care, Clinical Research, Impairments, or Catastrophic Care division, you will support our mission to deliver care and other services that enhance the quality of life of our clients. Be a part of our dynamic client-focused team and make a difference in your career!
Performs advisory activities to assist a Specialized Services Physician and Clinical Administrator with all the tasks necessary to write medical opinion letters for PCM Home Care clients wishing to add conditions to their white card.QUALIFICATIONS:
- Knowledge of the EEOICPA program is strongly preferred
- Demonstrates strong verbal, written and interpersonal communication skills.
- Strong computer skills.
- Speaks, reads, writes, and comprehends English.
- Demonstrates time management, organizational skills, and ability to function with minimal direction.
- Diligently maintains claimant contact records in Salesforce
- Utilize strong phone skills – this role requires extensive time on the phone, but is not considered a Call Center position
- Provide exceptional customer service to claimants
- Build strong relationships with team members, physicians, and Case Managers.
ESSENTIAL FUNCTIONS/AREAS OF ACCOUNTABILITY
- Liaising with PCM’s Clinical Operations and Home Care clients regarding prospective new conditions that can potentially be added to a client’s white card
- Provide clients with forms needed to assist in collecting records on their behalf as well as filing claims, secure return of signed forms, and follow up as necessary
- Request records from treating physicians and providers in support of the claim
- Receive and organize medical records
- Answer claimant questions regarding the DOL - processes and EEOICPA program and benefits
- Work directly with clients and Case Managers to guide them through the DOL process
- Follow up with claimants at each step of their DOL authorization process to gauge progress and offer additional guidance
- Document all steps in Salesforce and update as applicable
- Additional job duties as assigned.
Individual base pay depends on various factors, in addition to primary work location, complexity and responsibility of role, job duties/requirements, and relevant experience, skills and other market-based factors.
Available Benefits Include
- Medical
- Dental
- Vision
- 401(k)
- Company Paid Short Term Disability
- Flexible Spending Account (FSA)
- Health Savings Account (HSA)
- Paid Time Off
- Voluntary Benefits
is an Equal Opportunity Employer.
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