Medical Case Specialist I

Job DetailsBase Pay is starting at $18.70/hr increasing to $19.26 per hour after 90 days of employment; and then increasing to $19.84 per hour once the training program is completedWorking Monday - Friday between the hours of 8am - 5pm Onsite 1617 JFK Blvd. 300Training Schedule Onsite: Total 3 - 4 months.1 week of classroom training and about 3- 4 months of side by side/ mentorship scheduleWhy work with QTC? Great Employee Benefits Package : Medical, Dental, Vision, 401K , Life insurance, Tuition Reimbursement Incredible opportunities for growth and upward promotion♥10 Government Holidays ♥ 1 floating holidayWhat part would YOU play in this mission??You will be putting your education to play! As you receive a medical claim you will determine what type of provider the claimant needs to be scheduled with.Conducting high volume outbound calls to claimants to schedule medical evaluation appointments, follow ups and any other needs in the scheduling processDelivers exceptional customer service at all customer touch pointTriage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by the Veteran''s Administration officeVerify appropriate CPT and CLIN codes are assigned to each caseObtain medical history for specific conditionsDetermine appropriate examinations, tests and specialists required for each caseSchedule appointments for examinees including follow-up appointments and rescheduled appointmentsEnsure all examinees and providers receive necessary documentationWhat does it take to be qualified?1-2 years of STRONG Customer Service background in a fast paced environment 1-3 months of medical assistant background or equivalent medical terminology backgroundHigh School Diploma / GED RequiredStrong Communication/ Customer Service SkillsHighly driven with the ability to learn quicklyComputer Literacy - Working with Dual Monitors and multiple software''s (Word, Outlook, Excel)Proven ability to plan and organize work loadAbility to manage competing priorities in a fast paced work environmentGood follow through skillsMust possess the ability and flexibility to work early morning, evening, and/or weekend shiftsThis is a Full Time position with incredible benefits and an amazing work culture! Don''t wait too long to let this opportunity go! ExperienceRequiredLess than 1 year(s): Experience in healthcare, medical, or insurance related industriesPreferredDirect healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanationExperience with electronic medical scheduling and case management software EducationRequiredHigh School Diploma or betterGED or betterLicenses & CertificationsPreferredMedical AssistantCertified Medical CoderCertified Nursing AsstSkillsRequiredWritten CommunicationVerbal CommunicationComputer LiteracyPreferredProblem SolvingMedical DocumentationCustomer ServiceMulti-line phoneMS OfficeMedical Scheduling SoftwareMedical TerminologyMedical Data EntryElectronic Medical RecordsBehaviorsPreferredEnthusiastic: Shows intense and eager enjoyment and interestDetail Oriented: Capable of carrying out a given task with all details necessary to get the task done wellTeam Player: Works well as a member of a groupInnovative: Consistently introduces new ideas and demonstrates original thinkingMotivationsPreferredWork-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of workGoal Completion: Inspired to perform well by the completion of tasksJob Security: Inspired to perform well by the knowledge that your job is safeGrowth Opportunities: Inspired to perform well by the chance to take on more responsibility

Created: 2025-11-15