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Case Administrator III

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Job Description - Case Administrator III

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

  • Educates patients, their families and health care professionals in the use of the organization's products and services.
  • Organizes and conducts classes and individual meetings to demonstrate how the organization's products and services contribute to the maintenance and improvement of health and/or the management of specific diseases and physical conditions.
  • Prepares and distributes educational and instructional material (e.g., booklets, promotional kits).
  • May expand patient pool through participation in referral and screening programs.
  • Provides information and suggestions to sales and/or medical representatives and management on the results of educational programs, including comments and questions from patients and health care professionals.
  • Has developed specialized skills or is multi-skilled through job-related training and considerable on-the-job experience
  • Completes work with a limited degree of supervision
  • Likely to act as an informal resource for colleagues with less experience
  • Identifies key issues and patterns from partial/conflicting data
  • Takes a broad perspective to problems and spots new, less obvious solutions

Qualifications

  • Previous Medical Claims Experience.
  • Previous Experience Calling Plans & figuring out patient’s out of pocket costs for both Medical & Pharmacy Plans 
  • Medicare/Medicaid Experience.
  • Experience working in the Healthcare Field or Call Center Environment 

Additional Information

All your information will be kept confidential according to EEO guidelines.

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