Medical Case Specialist I - AWW (Wed-Sun 7a-5:30p CST)

Do you want to make a difference in the lives of America’s military service members?

Are you someone who has a knack for details and a passion for helping others? If so, we would love to speak with you!

We are seeking qualified candidates for Medical Case Specialist I - AWW (Wed-Sun 7a-5:30p CST) opportunities on our Veteran Affairs Operations team. You will serve as the face of the organization through direct interactions with military service members, delivering exceptional customer service at all touch points.

Who is Leidos QTC Health Services?

We are the nation’s largest provider of disability and occupational health examination services. We are PASSIONATE about our country’s veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.

What part would you play in this role?

As a Medical Case Specialist, you will work closely with veterans and the Veterans Administration to gather, collect, record, track and verify data and information from multiple sources. You will use software for functional area to schedule appointments and document in the case management systems while ensuring customer service at all customer touch points.

In this rewarding role, you will also:

• Conduct high volume outbound calls to claimants to schedule medical evaluation appointments,  follow ups and any other needs in the scheduling process
• Deliver exceptional customer service at all customer touch point
• Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by the Veteran’s Administration office
• Verify appropriate Current Procedural Terminology (CPT) and CLIN codes are assigned to each case
• Obtain medical history for specific conditions
• Determine appropriate examinations, tests and specialists required for each case
• Schedule appointments for examinees including follow-up appointments and rescheduled appointments
• Ensure all examinees and providers receive necessary documentation

You must have:

• 1 year of customer service background in a fast paced environment  
• High School Diploma / GED Required
• Strong Communication/ Customer Service Skills

Preferred to have:

• 1-3 months of medical assistant background or equivalent medical terminology background
• Highly driven with the ability to learn quickly
• Computer Literacy  – Working with Dual Monitors and multiple software’s (Word, Outlook, Excel)
• Proven ability to plan and organize work load
• Ability to manage competing priorities in a fast paced work environment
• Good follow through skills
• Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts
• Knowledge of Medical scheduling
• Intermediate to advanced computer software skills

Typical Day:

• Wednesday - Sunday: 7:00 AM to 5:30 PM CST **Extra $2.00 per hour shift differential for working AWW shift.
• Note: **This opportunity is not available for CA or AK employees

Pay and Benefits

• Starting pay is $17.85 per hour with a 6% increase upon graduation of training
• Extra $2.00 per hour shift differential for working AWW shift
• Eligible for a quarterly bonus up to 6% and annual merit increases

The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law

We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent:

• Starting your first day, you will have access to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accounts
• Competitive compensation and quarterly bonuses
• Student Loan Assistance
• Tuition reimbursement
• Paid Parental Leave
• A 100% company match of your pre- and post-tax contributions up to 5% of your salary, including immediate vesting of company contributions
• Generous paid time off (minimum of 14 days/year), as well as 10 paid holidays
• An inclusive and ethical work place

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available CLICK HERE.

Commitment to Diversity

Leidos QTC Health Services is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

This role may fall under the Service Contract Act (SCA), a federal law which provides for a U.S. Department of Labor-prescribed minimum prevailing rate of pay and certain benefit levels. Where appropriate, Company-provided benefit plans such as comprehensive leave, holiday, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations.

*This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties, and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

Experience

• Less than 1 year(s): Experience in healthcare, medical, or insurance related industries

• Direct 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 explanation
• Experience with electronic medical scheduling and case management software

Education

• High School Diploma or better
• GED or better

Licenses & Certifications

• Medical Assistant
• Certified Medical Coder
• Certified Nursing Asst

Skills

• Written Communication
• Verbal Communication
• Computer Literacy

• Problem Solving
• Medical Documentation
• Customer Service
• Multi-line phone
• MS Office
• Medical Scheduling Software
• Medical Terminology
• Medical Data Entry
• Electronic Medical Records

Behaviors

• Enthusiastic: Shows intense and eager enjoyment and interest
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Team Player: Works well as a member of a group
• Innovative: Consistently introduces new ideas and demonstrates original thinking

Motivations

• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
• Goal Completion: Inspired to perform well by the completion of tasks
• Job Security: Inspired to perform well by the knowledge that your job is safe
• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)