Medical Assistant
Core
Supports the P3CM Medical Management process by combining clinical experience with administrative and clerical functions to facilitate communication between patients, providers, and internal teams.
Role type
Medical Assistant (Utilization Management & Case Management)
Builds
Utilization management and case management activities
Domain
Healthcare administration / Medical Management
Deliverable
client delivery
Required skills
Medical terminology, Data entry (45+ WPM), Microsoft Office, Electronic health systems proficiency
Preferred skills
ERISA standards knowledge, URAC standards knowledge
Responsibilities
Provide utilization review services using evidence-based guidelines, Support disease and case management processes, Maintain compliance with state scope of practice, Answer and route phone calls, Enter and update case referrals in medical management software, Prepare and send introductory packets, closure letters, and satisfaction surveys, Maintain secure filing systems for closed cases
Seniority
Mid-level, hands-on IC