Remote Forensic Case Manager Jobs in Orem, UT (NOW HIRING)

Job Description:

Schedule - Tuesday - Friday 7:00am - 5:30pm

Job Essentials

• Verifies accuracy of EMPI link and identifies and reports possible linking problems and Identity Theft.

• Interacts with patient/representative to gather, verify, and input patient demographic, insurance, and essential admission information accurately into a database ensuring that appropriate billing, reporting and analysis by facility, corporate, state and federal agencies can be performed.

• Registers for multiple service lines within a facility using appropriate patient service types; may register for all service lines within a facility.

• Comprehends and provides explanation of legal documents in accordance to regulatory requirements, which may include: Advance Directives, MSP, Surgical H & P, Consent and Conditions of Admission, HIPAA Notice of Privacy Practices, Important Message from Tricare, Important Message from Medicare, etc.

• Completes financial screening questions to properly identify potential funding sources.

• Uses appropriate tools and facility contracts to hold financial discussions with patients or representatives (e.g., collection of copay/deposit, review of insurance benefits and out of network/non-coverage issues, cost estimation, financial obligation, initiation of payment arrangements, availability of financial assistance, initiation of rescheduling of services).

• Coordinates with physician offices, clinical staff, and patients on out of network issues to ensure patients maximize their insurance benefits. Ensures consideration is given to patient-specific conditions when determining whether to reschedule the patient's service at a participating provider.

• Responds to patients questions regarding billing process information and provides way-finding as needed.

• Maintains quality and productivity stats determined reasonable for position.

• May lead and/or train new employees.

• May perform cashiering and hospital reception duties.

• Cross-trains to cover shifts in other departments as needed when departments are short-staffed and on holidays; holiday coverage may include the ED.

• Understands the overall facility and patient process. Problem-solves with patients, department staff, and physicians working as a team to ensure registration information is complete, patients are directed appropriately, department schedules are maintained, and the patient has a positive and seamless check-in process.

• Works admitting reports and Case Mix errors as assigned and in a timely manner, ensuring statistical reports are correct for analysts.

• Is the first interaction patients have with the hospital and as such, is responsible to set the tone for the patient's service.

• Supports hospital-specific patient engagement initiatives as directed by supervisor/manager.

• Supports the facility to achieve desired NRI National Research Institute and HCHAPS standard.

Minimum Qualifications

• Three years of customer service experience within the last five years.
• Negotiation or collection experience within the last three years.
• Experience working effectively in time sensitive situations, multi-tasking and making prompt, responsible decisions.
• Demonstrated typing proficiency.
• Experience using basic computer skills.
• Excellent communication and interpersonal skills.

Preferred Qualifications

• Bilingual fluency in English and Spanish.
• Registration experience on Tandem or iCentra.
• Data entry or clerical experience in a medical office setting.
• Working knowledge of medical terminology.

• Interact with others requiring the employee to communicate information.
• Operate computers and other office equipment requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location:

Work City:

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Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.