Title: Managed Care Services Assistant

Maine

The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent.

The Managed Care Assistant performs administrative work as an assistant to the Managed Care Department to support the case management process and managed care programs.

Principal Duties and Responsibilities

Enter case management and vendor referrals into the system.
Assign referrals to case managers.
Enter case management chargebacks into the system.
Handle faxes and incoming data for telephonic nurse case managers.
Use phone, e-mail, and fax to request information from provider’s offices.
Coordinate appointments and care coordination referrals in support of the case management process and cost containment efforts.
Responsible for administrative level support of MEMICs 24/7 injury triage program.
Responsible for processing of vendor case management invoices.
Enter data in support of telephonic nurse case managers and the managed care team.

Minimum Knowledge, Skills and Abilities

High school diploma or equivalent and a minimum of 1-2 years of customer service and/or administrative support experience within a fast-paced office environment required.
Experience in a clinical or medical setting is preferred.
Ability to learn multiple computer applications quickly and type with speed and accuracy is critical.
Strong attention to detail.
Written and verbal communication skills are essential.
Ability to work in a team environment.
Prior experience in Workers’ Compensation is a plus.
Knowledge of basic medical terminology preferred.

Our comprehensive benefits package includes all traditional offerings such as:

Health Insurance options, Dental Insurance options and Vision Insurance
Employee Life Insurance/AD&D and Dependent Life Insurance options
Short-term & Long-term Disability
Health Savings Account with potential employer match
Flexible Medical and Dependent Care Account
Accident Insurance
Critical Illness Insurance
Employee Assistance Program
Legal/Identify Theft Insurance options
Long Term Care Insurance
Pet Insurance
401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
4 weeks of Paid Time Off (PTO)
11 paid holidays

We also offer other benefits to help foster a healthy, balance lifestyle such as:

Remote work opportunities
Paid Parental Leave
Student loan paydown and refinancing assistance
Educational assistance for job related courses, seminars, certifications or degrees
One paid day every year to volunteer for your non-profit of choice
On-site fitness center (Maine & Virginia) or fitness reimbursement
Subsidized parking
Sit-Stand desks & daily stretch breaks

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.

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