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Case Management Specialist, Healthcare Account
iSTA Solutions. Conduct initial assessments of patients' medical conditions, care needs, and treatment goals .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient assessment, care planning, and medication administration while maintaining accurate medical records. Proficient in coordinating with insurance providers and familiar with Medicare and Medicaid processes.
Highest-signal resume keywords
Patient AssessmentHealthcare Plan DevelopmentMedication AdministrationMedical Record ManagementBPO Healthcare Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AssessmentCare PlanningMedication AdministrationWound CareIV TherapyMedical TerminologyClaims ReviewAuthorizationDenialsAppeals
Soft Skills
Good English Verbal SkillsGood English Written SkillsWork Management Skills
Tools & Technologies
MS Office Tools
Certifications & Qualifications
Graduate of Medical Allied Courses
Industry Keywords
MedicareMedicaidBPO HealthcarePatient RecordsInsurance Coordination
About the role
Key responsibilities & impact- Conduct initial assessments of patients' medical conditions, care needs, and treatment goals
- Develop healthcare plans tailored to each patient's requirements
- Administer medications, treatments, and medical procedures as prescribed by healthcare providers
- Monitor vital signs and assist with wound care, IV therapy, or other medical interventions
- Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and incidents or concerns
- Coordinate with US insurance providers
Requirements
What you’ll need- Graduate of Medical Allied Courses
- Basic knowledge about Medicare and Medicaid
- 1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals
- Familiar with common medical terminologies
- Good English verbal and written skills
- Good work management skills
- Familiar with common medical terms
- Familiar with MS Office Tools and applications
Benefits
Comp & perks- Competitive salary and benefits
- Health Insurance with free dependents*
- 10%-night differential
- Attendance Bonus
- Paid time off
- Convertible to cash leave credits
- Performance Appraisal
- Work-life balance
- A focus on growing your career path with us
- We encourage you to follow your passions and learn new skills
- Strong culture and values-driven leadership
- We create opportunities for you to learn and grow at any stage of your career
- Continuous learning and innovation
- We foster an all inclusive environment where everyone thrives