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Case Manager

PROVE Partners
Desde casa

Postulación rápida

Información del empleo

Tiempo completo
$30,000 a $41,000 por mes
Hace 4 días

Beneficios

Vacaciones adicionales o permisos con goce de sueldo

Cualificaciones

Bilingüe
Microsoft Excel
Administración de personal
Plurilingüe
Servicio al cliente
Inglés
Licenciatura
Less
Terminología médica

Descripción completa del empleo

Salary Range: $1,500 – $2,000 USD per month, depending on experience.

About Us:

· PROVE Partners, LLC, founded in 2003 and based in Las Vegas Nevada, is a patient-centric complex claims administration and healthcare finance company that provides innovative services and financial products to injury victims, medical providers and law firms in the United States.

· PROVE is primarily engaged in a fast-growing form of specialty reimbursement commonly referred to as medical lien funding that enables victims of third-party liability accidents (e.g., motor vehicle collisions) to access healthcare in their greatest time of need.

· PROVE is more than a medical lien funder—we offer patients a full-suite of financial products including co-pay and deductible finance and pre-settlement loans, providers with comprehensive revenue cycle solutions including outsourced complex claims administration, and attorneys with patient concierge services and technology solutions to manage caseloads, reduce overhead and most importantly, maximize the outcome for their clients.

· PROVE maintains a fortressed balance sheet, supported by a group of institutional capital partners that manage more than $16 billion in assets under management.

· PROVE is backed by C9 Partners, LLC, a Los Angeles-based private equity firm focused on making investments in US-based businesses at intersection of financial services, specialty finance, and healthcare services.

Our Mission: We help injury victims at their greatest time of need.

Our Core Values: PROVE Partners wants to make an IMPACT on the lives of the patients we help, the clients we work with, and the team we treasure.

· I = Innovate Daily

· M = More…with Less

· P = Pursue Growth and Learning

· A = Accountability

· C = Communication

· T = Teamwork

Case Manager – Job Summary:

As a Case Manager at PROVE Partners, you will serve as the primary liaison between plaintiffs, law firms, and medical providers, ensuring seamless coordination throughout the lifecycle of personal injury cases. You will be responsible for tracking and facilitating plaintiffs’ medical treatment, ensuring their care progresses while providing law firms with the necessary information to advance cases toward resolution.

Working closely with the rest of the PROVE Operations Team, you will manage cases from intake through completion, including scheduling plaintiffs with our trusted medical network, reviewing medical records and bills, and maintaining clear, proactive communication with all stakeholders. Your role is critical in delivering exceptional service through portal updates, emails, and phone interactions, ensuring efficiency and client satisfaction at every stage.

Job Duties:

Core Job Function:

You will communicate and build rapport with law firms to facilitate a seamless process for their clients to access medical care required as a result of an injury.

Ancillary Job Functions

The Case Manager will be responsible to gather all information necessary to present the underwriter with a complete file for determination of funding.
The Case Manager will be responsible to underwrite the case to the level of authorized funding.
If the case is authorized for funding or declined for funding, the Case Manager is responsible to communicate this status with the provider and the attorney.
The Case Manager is responsible to update CORE as required for ongoing medical lien funding.
The Case Manager will be responsible to ensure that all documents received are saved into the appropriate locations. (letter of authorization to fund, letter to decline funding, copy of the lien)
The Case Manager will schedule patients with medical providers in the PROVE Provider Network and follow up with the patient and attorney for each medical encounter.
Provide education for attorney firms and providers on the PROVE Portal. You will encourage utilization and identify any barriers to use.
Correspond with attorney offices and providers to obtain all relevant case information.
Manage phone, fax, email, and attorney portal information for each case
Develop and maintain productive customer relationships
Maintain HIPAA compliance with all correspondence
Deliver optimal customer satisfaction through timely, accurate case processing.
Perform other related duties as assigned by the Director of Operations or VP of Operations.

Skills and Qualifications

· Minimum of 2 years of experience as a Case Manager required, with experience in the medical lien funding industry a plus.

· Paralegal with personal injury experience, preferred

· Knowledge of medical terminology, preferred

· Associates or bachelor’s degree, preferred

· Strong customer satisfaction skills

· Ability to excel in a fast-paced, team environment with a high degree of personal accountability

· Commitment to detail and quality

· Possess a sense of curiosity

· Interpersonal communication skills that drive success

· Proficient in Microsoft Windows/Office/Excel/Adobe/Scheduling software/Video Conferencing

· Ability to work at a computer while on the telephone for up to 8 hours a day

· Bilingual- English and Spanish

· Ability to work within the assigned territory’s business hours, spanning from U.S. Pacific Time to U.S. Eastern Time.

Salary Range: $1,500 – $2,000 USD per month, depending on experience.

Paid Time Off (PTO) available.

Ideal Candidate Profile

· Experience in personal injury cases

· Experience in case management

· Experience in medical appointment scheduling

· Has outstanding customer service skills

Disclosures:

Prove Partners is an Equal Employment Opportunity and Affirmative Action Employer committed to diversity in the workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Tipo de puesto: Tiempo completo

Sueldo: $30,000.00 - $41,000.00 al mes

Lugar de trabajo: Empleo remoto

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